Self Learning Assessment 2005 Quiz

1.A healthy 64-year-old patient has acute apical periodontitis of tooth 2.5 which is in hyperocclusion. Which of the following are acceptable in the initial management of this patient? A.Extraction and analgesics. B.Root canal therapy, analgesics, antibiotics, and adjustment of occlusion. C.Extraction, analgesics and antibiotics. D.Analgesics and antibiotics. 2.Dental plaques are 1.organized biofilms. 2.controlled by essential … Read more

In Remembrance John Boag Houston 1936-2005

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I first met John when I applied to the post graduate program in prosthodontics at UCLA. Like all universities, UCLA required an interview as part of the application process. John was practicing at LuCliff Place in Toronto, having recently retired as director of clinics at the University of Toronto Faculty of Dentistry. John conducted the … Read more

Periodontal Diseases; Evolving Treatment Strategies

Treatment of periodontal diseases has undergone a series of changes, although not quite a revolution, over the past 20 years.1-6 Importantly, regeneration of lost periodontal tissues has always been the primary goal of treatment. Unfortunately, this has proven to be an extremely challenging task that has only been met partially or modestly at best. Hence … Read more

Atridox:(tm) A Valuable, Site-Specific Adjunct to Periodontal Therapy

FIGURE 13--Any excess material may be packed into the periodontal sulcus with a blunted end hand instrument.

The primary objective of periodontal therapy is to assist our patients in preserving their dentitions in health and function. As one ages, there is an increasing likelihood that periodontal disease may become evident. This disease is manifested by the invasion of pathogenic bacteria into the subgingival environment. As a result, an inflammatory process can be … Read more

Subantimicrobial Dose Doxycycline — Host Modulation in the Treatment of Periodontitis

FIGURE 1--The graph shows that patients taking doxycycline hyclate 20mg bid have plasma levels of the drug well below that necessary for antimicrobial effect.

ABSTRACT The etiology of chronic periodontitis involves complex host-parasite interactions modified by environmental and genetic factors. Contemporary thinking suggests that successful long term management of chronic periodontitis may combine both local mechanical and antimicrobial therapy with modulation of the patients’ systemic (host) response to the bacterial exposure. A drug has been approved by the United … Read more

The Implant Retained Overdenture and Its Cost-Effectiveness

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The mandibular 2-implant overdenture to is the first-choice standard of care for edentulous patients today.1 Combined with a maxillary conventional denture, it will provide better function and quality of life than conventional dentures.2 Only a small percentage of implant candidates have received treatment.3 Even though decay rates are dropping, in real numbers, people with one … Read more

68th Annual Winter Clinic

Photo by Andrea Anderson

Friday, Nov. 4, 2005 Metro Toronto Convention Centre, North Building For information, contact the Academy office at 416-967-5649 OF SPECIAL INTEREST * Over 25 comprehensive & engaging ADA CERP certified lectures * Cocktail Reception following the Fashion Show, sponsored by RBC Royal Bank * Visit the Technical Tent for all the latest gadgets and gizmos … Read more

Dental Internet Directory (October 01, 2005)

ASSOCIATIONS CANADIAN DENTAL PROTECTIVE ASSOCIATION 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 ENDODONTICS: 2-DAY HANDS-ON COURSES IN VANCOUVER Advanced techniques for treatment of root canal systems. … Read more

The Great Dictator – Revisited

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

It seems as if it was only a few moons ago that I wrote an editorial for this journal entitled, “My Life as a Dictator” (1993). In it I discussed the way I generated my reports to the referring dentists by voice dictation. Once the report was dictated a dedicated typist transcribed the tape. The … Read more

Re: Dr. Simon Weinberg’s Letter to the Editor, September, 2005

While there are still disagreements as to the many causes of TMDs, the management of these painful, “ubiquitous” conditions has progressed dramatically over the past 35 years. It has been well-established in the scientific literature that the accuracy of even detecting the presence of a TMJ internal derangement is about 50% … the flip of … Read more

Curving Hand Files: When, How and Why?

Rich Mounce, DDS

Hand files have great value for me in both orthograde root canal therapy and orthograde retreatment. For me, hand files are used primarily as negotiators, patency files and glide path creators to allow subsequent rotary nickel titanium files to be used safely. Pre-curving hand files has become a habit that is second nature and automatic. … Read more

OPP Seek Assistance

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Ontario Provincial Police require your help. On August 28, 2005, the decomposed remains of a female were found at a rest area on Hwy #7, in Eramosa Township, east of Guelph, Ontario. Guelph is located about one hour west of Toronto. Photos of the dental plate and dental chart are included here. DESCRIPTION * Unidentified … Read more

Dental Internet Directory (September 01, 2005)

ASSOCIATIONS CANADIAN DENTAL PROTECTIVE ASSOCIATION Bad things happen to good dentists. www.cdpa.com iCANADEN…internet CANAdian DENtistry An OPEN FORUM on the business and practice of dentistry. www.canaden.com ONTARIO ACADEMY OF GENERAL DENTISTRY Quality of care through life long learning. www.ontarioagd.org ONTARIO STUDY CLUB FOR OSSEOINTEGRATION Seminar calendar and OSCO Information. www.osco.org TORONTO ACADEMY OF DENTISTRY Toronto … Read more

More Insanity

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Last year in an editorial entitled “The Law is an Ass”, I reported the story of two health professionals, a male physician and a female physiotherapist, both of whom practiced in Ontario, and who also happened to be patients of each other. Over many years of knowing each other, both socially and professionally, they fell … Read more

The tooth needs a root canal, should I treat this patient? PART III OF III

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This column will continue a discussion initiated in Part I (June ’05) and II (Aug. ’05) of this three part column, which addressed the factors that go into creating better communication and trust between doctors and patients with a simultaneous eye toward helping doctors avoid unnecessary patient management problems. Specific factors that can help identify … Read more

Re: How to Stabilize the TMJ Prior to Treatment, Oral Health, June, 2005

Dr. Marangos’ introductory remarks note the history of controversy in the diagnosis and treatment of temporomandibular disorders. Having lived through it I can confirm that he is correct. When I began treating patients with TMD in the 1970s, there were no textbooks on the subject. The only way to achieve insight into the condition was … Read more

Self Learning Assessment 2005 (September 01, 2005)

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear at the end of each quiz. Dentists who complete the 15 question quiz in the November, 2005 issue of Oral Health may be eligible to receive continuing education points. The names and license numbers of … Read more

Is Dentistry a Business or a Profession?*

Today I have chosen to talk to you about our profession’s image in the public’s eyes and to explain to you why I am truly fearful about the significant erosion of our profession’s stature in North American society. In the title for this address, I have posed the question. “Is Dentistry a Business or a … Read more