The Truth About Triple Trays

FIGURE 10--Final restoration.

There are two schools of thought regarding triple tray impressions: 1. they are the greatest technique ever; 2. they are absolute garbage, resorted to by lazy dentists. As it happens, neither extreme position is true. Triple tray impressions are not inherently better than full arch or quadrant separate upper and lower impressions, but they do … Read more

When 90% Is Not Good Enough

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Quality dentistry is not guaranteed by attending multiple continuing education seminars, especially when prosthodontic procedures are involved. It certainly helps, but in fact “quality” and “dentistry” may be mutually exclusive. Mutually exclusive due to dentistry’s multiple steps process. To achieve more than a 90% successful outcome for any given dental procedure, labour intensive attention to … Read more

Dental Internet Directory (November 01, 2007)

ASSOCIATIONS 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. www.tordent.com CONTINUING EDUCATION FACULTE OF ORTHODONTIC RESEARCH & CONT. ED. Lectures and live hands-on programs in … Read more

Diagnosis and Management of Irreversible Pulpitis: Practical Strategies

Dr. Mounce is in private practice in endodontics in Vancouver, WA, USA. Amongst other appointments, he is the endodontic consultant for the Belau National Hospital Dental Clinic in the Republic of Palau. Korror, Palau (Micronesia). He can be reached at RichardMounce@MounceEndo.com.

Recently, I received these two questions from the same reader. The answers have clinical application for all clinicians who practice endodontics. These questions underscore the importance of understanding the causes of pulpal inflammation as well as the basic indications for endodontic therapy with a diagnosis of irreversible pulpitis (IP). The onset of an IP is … Read more

Self Learning Assessment 2007 (November 01, 2007)

The 15 Question 2007 SLSA Quiz for CE points appears on these two pages along with instructions and reply card. To be eligible for CE points, responses must be received by December 31, 2007. 1.Periodontitis can induce a primary host response which leads to preterm birth. Mothers who have preterm births have a higher incidence … Read more

Platform Switching to Improve Implant Performance; Myth or Fact?

FIGURE 1--Matching abutment/implant diameters (left) and platform-switched implant/abutment diameters. (From Lazzara and Porter, Int J Periodontics Restorative Dent. 2006 Feb;26(1):9-17)

ABSTRACT With proper surgical and prosthetic treatment, the majority of today’s implants are predictably reliable. Manufacturers’ claims of superiority due to new and unique design characteristics often lack good scientific backing. Platform switching, while still unproven, might offer some advantages, however, clinicians should base their implant choice on patient needs and system simplicity rather than … Read more

Nutritional Strategies in the Management of Necrotizing Ulcerative Periodontitis

FIGURE 10--Two weeks post-operatively the infection is extinguished and the soft tissue healing nearly complete.

Necrotizing ulcerative gingivitis (NUG) is an acute bacterial infection caused by fusiform rods and spirochetes (Borrelia vincentii). When NUG progresses and results in attachment loss, it is referred to as necrotizing ulcerative periodontitis (NUP). Together, NUG and NUP are now classified as “Necrotizing Periodontal Diseases” according to the 1999 classification of periodontal diseases and conditions.1 … Read more

Dentists and Dental Hygienists… A Marriage on the Rocks?

For some years now there appears to have erupted a peaceful but wary co-existence between the dental and dental hygiene communities. While individual relationships are for the most part unhampered by the general tensions that exist, there remains a large degree of concern and suspicion by dentists as to the direction that the dental hygiene … Read more

Sulcus and the Dentogingival Complex (PART II)

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In our previous paper (Oral Health, April 2007) we discussed the importance of managing the dentogingival complex during routine restorative procedures to avoid black triangles, biologic width violations and recession. Even more attention to detail is required around implants if our goal is to create ideal esthetics (Figs. 1 & 2). Unfortunately as difficult as … Read more

70th Annual Winter Clinic

Friday, November 9, 2007 Metro Toronto Convention Centre, South Building The Toronto Academy of Dentistry 416-967-5649 *www.tordent.com A Hands-On Experience EXHIBIT FLOOR OPENS 10 am – 6 pm The Toronto Academy of Dentistry, a respected leader and resource to the dental profession in the Metropolitan Toronto Area since 1890, is dedicated to enhancing the professional … Read more

Be Nice, Clear Your Ice ….

Peter Birek is Associate Professor with the Faculty of Dentistry, University of Toronto and maintains a periodontic and implant surgery practice in Toronto.

Said the late, British born and very Canadian cartoonist Ben Wicks. Although he called for a specific civil task, to me it meant much more. This self-effacing but charming Member of the Order of Canada wished to remind fellow Canadians of our duty to be nice to each other, a simple code of civility — … Read more

Hand Files or Rotary Nickel Titanium Files?

Dr. Mounce is in private practice in endodontics in Vancouver, WA, USA. Amongst other appointments, he is the endodontic consultant for the Belau National Hospital Dental Clinic in the Republic of Palau. Korror, Palau (Micronesia). He can be reached at RichardMounce@MounceEndo.com.

Is it more effective and safe to finish root canal preparations with hand files or rotary nickel titanium files? There are proponents on both sides of the issue. My empirical bias is that it is inefficient, fatiguing and risks iatrogenic events unnecessarily to finish root canal preparations with hand files. It could be strongly argued … Read more

Self-Learning Assessment 2007

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear in the following issue at the end of each quiz. Dentists who complete the 15 question quiz in the November, 2007 issue of Oral Health may be eligible to receive continuing education points. The names … Read more

Dental Internet Directory (October 01, 2007)

ASSOCIATIONS 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. www.tordent.com CONTINUING EDUCATION FACULTE OF ORTHODONTIC RESEARCH & CONT. ED. Lectures and live hands-on programs in … Read more

Stress In Dentistry — It Could Kill You!

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Recent Studies reported in dental literature confirm that dentists are subject to a variety of stress-related physical and emotional problems. These problems included an alarmingly high incidence of cardiovascular disease, ulcers, colitis, hypertension, lower back pain, eye strain, marital disharmony, alcoholism, drug addiction, mental depression and suicide. STUDIES AND STATISTICS * The suicide rate of … Read more

Multidisciplinary Management of Canines Exhibiting Significant Delay in Eruption

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ABSTRACT Multidisciplinary management is essential in cases of orthodontic patients exhibiting canines that have failed to erupt timely. The purpose of the article is to present the special considerations in treating such cases so that good tooth alignment and favorable periodontal statues can be obtained. Current knowledge suggests that regardless the technique of choice, non-traumatic … Read more