Design Principles For Class II Preparations

Table 2. Shear Bond Strength with five different etchants using the same adhesive.14

INTRODUCTIONA sound restoration cannot begin with a flawed preparation. Amalgam preparations reached consensus more than a century ago. However, after 30 years, posterior composite preparations have not been formulated into a definitive textbook. No one method is accepted by university circles, dental communities, or the majority of the profession. Without consensus on fundamentals, how can … Read more

Toronto Academy of Dentistry 75th Annual Winter Clinic

Oral Health

The recent Toronto Academy of Dentistry 75th Annual Winter Clinic was a resounding success. A total attendance of 2,572 represented an increase in dentists and booth spaces from the previous year. The Academy launched its new initiative with the Mikey Network, a programme geared to place automatic external defibrillators (AEDs) in public places. Mark your … Read more

Regulatory and Legal Issues arising from Grey Market Dental Products

Matthew Wilton is a Toronto litigation lawyer specializing in health law. He has been assisting dentists in RCDS matters, principal associate disputes and employment law matters since 1991. As a litigator Matthew has appeared before the RCDS Discipline Committee, the Ontario Divisional Court, the Ontario Court of Appeal, the Federal Court of Appeal and the Supreme Court of Canada.

Depending on the factual circumstances, a dentist can face legal liability for damages, or allegations of professional misconduct for utilizing Grey Market dental products in his or her dental practice. In Ontario dentists are regulated by the Royal College of Dental Surgeons, pursuant to the Ontario Dentistry Act. The RCDS has a mandate to regulate … Read more

Informed Consent, Record Keeping and Adverse Outcomes

Figure 10. Finished Case Retracted.

Record keeping and informed consent are the two courses most frequently imposed on dentists involved in collegial undertakings. An undertaking can be voluntary or it can be imposed, by either the ICR (Inquiries, Complaints and Reports) or the Discipline Committee of the RCDS(O). Record keeping and informed consent appear on the RCDS(O) web site separately, … Read more

Entrepreneurism and Dentists – Mutually Exclusive? No! A necessary combination!

Dr. Bruce Glazer published an feature in Oral Health (Nov. 2011) called “Entrepreneurism and Dentistry – mutually exclusive?”. I feel compelled to respectfully rebut. Dr. Glazer makes the argument that because the likelihood of failure is relatively small and the ideas and services not new, dentists should not consider themselves to be entrepreneurs, nor is … Read more

Careful what you wish for … Dad and Mom

Dr. Birek is an Associate Professor in the Department of Periodontics and staff surgeon with the Oral Reconstruction Unit at the University of Toronto. He maintains a private practice in Periodontics and Implant Surgery in Toronto. Peter is the Periodontology editor for Oral Health Journal.

There is no more precious moment in the life of a parent than the celebration of a child’s achievement – in my case a graduation. One such moment occurred this year when I hooded my daughter in front of the Chancellor accepting her into the Doctor of Dental Surgery degree at her convocation from Schulich … Read more

Host Modulation Therapy for Periodontal Disease: Subantimicrobial-dose doxycycline, Medical as well as Dental Benefits

Introduction and BackgroundA number of articles over the past two decades have reviewed the scientific and clinical rationale for incorporating a novel non-antibacterial formulation of doxycycline in the treatment of: (a) periodontal diseases (chronic periodontitis primarily, but also generalized aggressive periodontitis, and refractory periodontitis); (b) other oral inflammatory conditions such as pemphigoid; and (c) several … Read more

Supportive Implant Therapy Protocol for the Patient with Single or Multiple Implants

Figure 13. (B)

While the advent of implant dentistry has provided the option of a fixed prosthetic solution, the responsibility for the maintenance of implant dentistry often rests with the patient and the dental hygienist. Without supportive implant therapy, the possibility of peri-implantitis developing is well established1. However, the development of effective protocols has been limited due to … Read more

Management of Soft Tissue Recession: Rationale and Treatment Options

Figure 10. 1 month post-operative view of connective graft procedure over the buccal of teeth 31-42.

Many techniques have been developed over the years for managing gingival recession and preventing it from progressing. These techniques have been shown to be very successful (Chambrone et al. 2010), provided proper diagnosis has been made. Proper diagnosis of a mucogingival deformity relies on clinical assessment of the recession present and soft tissue assessment, specifically … Read more

Minnesota’s New Dental Therapist: Where Are We Now?

Figure 3. Levels of Supervision - Dental Hygienists And Licensed Dental Assistants (Per Minnesota Rule 3100.0100, subpart 21)

The State of Minnesota has finally licensed the first Dental Therapist and the whole world is watching this new dental experiment down in the Land of Ten Thousand Lakes. The American Dental Association and the Minnesota Dental Associated were initially opposed to the new Dental Therapist Law, mainly because of concerns about patient safety and … Read more

Retrieval of Fractured Prosthetic Screws from Dental Implants: A Case Report

Figure 8. Three fractured prosthetic screws retrieved successfully (one of the screws had broken into two pieces).

Endosseous implants were introduced to the dental community in 19811 and are becoming increasingly popular in both the dental profession and with patients as a reliable treatment choice for the replacement of missing dentition; there is ample supporting evidence of their long-term success.2 With high success rates of between 95-98%3 and low incidence of complications, … Read more

Removing Implants…With a Twist…

Figure 6D.

INTRODUCTIONIn the last three decades, dentists have placed and restored implants to meet patient’s functional and esthetic needs. As the field evolved, we have learned through shared collective experience to evaluate clinical surgical and prosthetic parameters and risks factors to successfully manage difficult situation involving compromised soft and hard tissues. The accumulated research clearly supports … Read more

DENTAL INTERNET DIRECTORY LISTINGS

ASSOCIATIONS ASSOCIATION OF DENTAL TECHNOLOGISTS OF ONTARIO The official voice of Registered Dental Technologists in Ontario www.ADTO.org CANADIAN DENTAL PROTECTIVE ASSOCIATION Because bad things happen to good dentists. www.cdpa.com ONTARIO ACADEMY OF GENERAL DENTISTRY Quality of care through life long learning. www.ontarioagd.org TORONTO ACADEMY OF DENTISTRY Toronto Meetings Calendar, CE, Winter Clinic, Society Listings, etc. … Read more