Chairside Chats: A Word With…Dr. Chandan Advani

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Dr. Chandan Advani Co-CEO of Brush Dental Clinics, Toronto, Ontario What is one thing you know now that you wish you had known at the start of your career? The one thing I appreciate now is just how valuable and precious time is. This lesson makes it vitally important to spend time balancing professional growth … Read more

Host-Modulation Therapy for Peri-Implantitis: Current Systemic and Future Medical Applications Recognizing the Potential Systemic Impact of Peri-Implantitis on Systemic Disease

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Introduction It is well known that current strategies for managing peri-implant mucositis and peri-implantitis are highly varied, and in many cases, unpredictable. This is an important issue since evidence suggests that the prevalence of peri-implant mucositis and peri-implantitis range from 22–43 percent of implants placed.1 In most cases, the existing model for treating chronic periodontitis … Read more

Physical Activity to Support Periodontal Health

Periodontal Health

Providing patients with proper oral hygiene instruction is recognized as an important part of dental hygiene appointments – but should we also be encouraging patients to exercise for oral health benefits? The Canadian 24-Hour Movement Guidelines recommend adults accumulate at least 150 minutes of moderate to vigorous aerobic activity each week.1 You have likely heard … Read more

A Plant-Based Diet and Periodontal Health

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ERIODONTAL DISEASE AND A PLANT-BASED DIET What is a ‘plant-based diet’? Essentially, this is an umbrella term that describes a diet characterized by a focus on food sources from plants with a lower, although not necessarily eliminated, consumption of animal and animal-derived products. Canadians are hearing and reading about this topic more and more, especially … Read more

A Novel Simplified Stepwise Approach to Diagnosing Periodontal Diseases and Conditions

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Abstract Background: The classification system for periodontal diseases and conditions was revised in 2017. Evidence-based criteria were developed, and extensive revisions made, to reflect advancements regarding the etiology and progression of periodontal diseases. Among the many updates made to the previous classification system, a novel definition for periodontal health was introduced, along with a staging … Read more

A New Tool for Cleaning Excess Resin Cement

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Cleaning excess cement after cementation of a crown is a tedious but important clinical procedure. Failure to remove excess cement can lead to plaque accumulation, gingival inflammation and possibly even bone loss.1 Removal of cement is even more difficult when using resin cement. A recent Practice Based Research Network study reported that almost 40 percent … Read more

Rehabilitation of Both Failing Implants and Remaining Dentition with Implant Overdentures: A Case Report Part 2: Prosthetic Treatment

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Introduction This publication is a continuation of the case report published in 2020, on rehabilitation of both failing implants and remaining dentition with implant overdentures. Prosthetic treatment was delayed last year due to COVID-19. Prosthetic Treatment The patient’s provisional upper denture was under-extended to maximize support, retention, and stability in light of the horizontal prosthetic … Read more

Oral Cancer as a Result of Betel Quid Use: An Interventional Analysis of Betel Quid Prevention and Cessation in Papua New Guinea Adolescents and the Role of Dentists as Global Citizens

Red-stained smile in adolescent from daily use of BQ. Photo courtesy of Kathleen Prior.

Ared-stained smile, often observed in Asia-Pacific populations, is the hallmark of betel quid (BQ), a carcinogenic seed chewed by an estimated 600 million people globally (Ping-Ho et al., 2017). This practice is deeply rooted in Asia-Pacific culture; however, BQ is widely recognized to cause multisystem adverse health effects and oral cancer (Chu, 2001; Moe et … Read more

Removal of Impacted Third Molars: High Speed Bur or Piezosurgery?

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Approximately 20 percent of the general population have impacted teeth, the majority of which are third molars.1 Therefore, the removal of impacted teeth is one of the most common procedures to be performed in oral surgery practices.2 It is also a procedure that instills fear and anxiety in many patients. Third molar removal can range … Read more

Online Scheduling Becomes a Must-Have for Dental Practices

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If you’re depending on patients to call your practice to schedule an appointment, you’re missing out. More people than ever want to be able to book an appointment directly from your website, social media sites, and Google My Business page. Consider this: Millennials are now entering their 40s. They’re very comfortable with technology and enjoy … Read more

Cetacaine Non-Injectable Topical Anesthetic is Available Through Oral Science

Cetacaine is a non-injectable liquid topical anesthetic that will allow you to treat your patients with a profound, long-lasting and cost-effective anesthesia. Mechanism of Action The combination of benzocaine (short duration for a quick onset in 30 seconds), tetracaine hydrochloride (slow onset for an extended duration of 30 to 60 minutes) and butamben (intermediate action bridge) … Read more

Unsuccessful Outcomes

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If you’re like me, you’ve had your share of unsuccessful outcomes and can appreciate the negative feelings that come with them. Just the other week I ruminated over the need to leave posterior spaces on a case that was progressing well in the grand scheme of things. As dental practitioners we tend to be critical … Read more

Chairside Chats: A Word With…Dr. Jordan Pettigrew

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Dr. Jordan Pettigrew Dr. Jordan Pettigrew and Associates, Ottawa, Ontario How would you summarize your practice philosophy? Our practice philosophy is quality over quantity, coupled with a family atmosphere. We strive to create an environment where patients and staff are happy. If you do great dentistry and treat patients and staff well, you will be … Read more

Faster and More Predictable Treatment with 100% Custom 3D-Printed Brackets from LightForce Orthodontics: Q&A

3D-Printed Brackets

Last year, Dr. Tim Dumore added fully custom 3D-printed tooth moving tools from LightForce Orthodontics to his treatment options. LightForce, which is headquartered in Burlington, Massachusetts, has developed a cloud-based platform to create patient-specific 3D-printed ceramic brackets delivered in patient-specific indirect bonding (IBD) trays that are 3D printed from a proprietary material.1 Dr. Dumore digitally … Read more

Smile Design with Clear Aligners

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The contemporary practice of orthodontics focuses not only on achieving ideal alignment and occlusion, but also on how the teeth relate to the soft tissues of the face. Smile arc is one of the most important factors when assessing and optimizing smile esthetics. In the pursuit of attaining a well-treated orthodontic case, the smile arc … Read more

Self-Ligation has Significantly Shorter Chair Time Compared to Conventional Ligation with 8 Techniques: Systematic Review with Meta-Analysis of Randomized Controlled Trials of Clinical Outcomes

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Objective: To test if there are significant evidence-based differences in effectiveness between self-ligation (SL) and conventional-ligation (CL) brackets, including observation of eight daily, self-ligation clinical techniques. The clinical SL advantages are: 1) using colour elastomers upper 2-2, but converting to a completely ligature-free appliance when poor oral hygiene develops, 2) simple clip-click for coil spring … Read more

Getting to the Root of the Matter – Indications for Grafting in the Ortho-Perio Patient

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Introduction Orthodontic and periodontal therapy are intimately connected. To ensure a functional and aesthetically pleasing outcome the process begins with clinical assessment of many factors including periodontal probing depths, thickness of the attached gingiva, mobility, occlusion, furcation involvement and bleeding. This will ensure there are no underlying issues that could become aggravated by tooth movements.1,2 … Read more