Facially Driven Treatment Planning to Manage the Adult Patient with Severe Wear: Virtual Smile Design and Key Diagnostic Components

Non consonant (flat) and Consonant Smile Arc.

The adult patient with deep anterior overbite and extensive anterior tooth wear is especially challenging. Treatment involves many diagnostic questions to which correct answers must be found to ensure successful management and treatment. This type of case is a perplexing problem – how does a clinician manage restorative treatment? Today a multitude of digital diagnostic … Read more

Orthognathic Surgery with Clear Aligner Therapy

The rise of the digital age has transformed orthodontics as we know it.1 Due to its increasing popularity, Clear Aligner Therapy (CAT) has become a mainstay of contemporary orthodontics.2 This trend is largely due to the growing demand among prospective patients for more esthetic alternatives to traditional brackets and wires, including those presenting with dentofacial … Read more

TMJ Internal Derangements

TMJ

Dentists are commonly confronted with the diagnostic and treatment challenges associated with a person who has TM joint pain, TM joint clicking and limited opening resulting from certain TM joint conditions. Paramount in our approach is the paradigm to “do no harm1” and to achieve this goal, the clinician must understand the nature of these … Read more

Pre-Orthodontic Periodontal Considerations: Establishing a Rationale and Timeline for Periodontal Intervention

Clear Aligners

Introduction: The proliferation of novel appliances in modern orthodontics, that are discreet or even completely undetectable, has encouraged a growing number of patients from adolescents to adults to seek out treatment. While referrals to an orthodontist are often made to address functional problems, esthetic reasons are an equal (if not more common) basis for addressing … Read more

With So Many Materials to Choose, What is the Best Choice for a Single Crown?

Fixed restorations have come a long way since the early days of cast gold restorations with pyroplast (acrylic) facings. New materials are being developed, techniques simplified, making these advances more economical and user friendly for the dental profession. Beautiful, life-like reproductions of teeth can be created with a variety of different materials such as porcelain … Read more

Can Plant-Based Really be High-Tech?

Clear Aligners

In Combining Botanical Foam with the Latest in LED Innovation, PhotoDynamic is Poised to Revolutionize Home-Based Oral Hygiene for Ortho Patients Moving from research and development to an operationalized business is a milestone for any company but in the case of PhotoDynamic – a small, Halifax, NS-based firm – bringing its Phyto-Light device and foam … Read more

Four Team Members, One Goal: A Transformation Story

ABSTRACT Quite often patients have the desire to improve their oral care and appearance but don’t know where to start. Compounding the problem is that when the patient is seeking solutions, they are often turned away or trivialized because their practitioner does not have the knowledge or skill to treatment plan the patient’s needs or … Read more

Early Orthodontic Treatment

Early orthodontic treatment refers to orthodontic intervention before the eruption of permanent dentition (except third molars) is complete.1 In orthodontic literature, the benefits of early orthodontic treatment have been a topic of much debate.2-10 Some clinicians may prefer to defer orthodontic treatment to the adolescent age period, however many others attempt to intervene in the … Read more

Treating The Dreaded Black Triangle With The Bioclear Method: A 4-year Follow Up

Orthodontic treatment in adults is very different than that for adolescents. A significant number of finished ortho cases, are in truth, not finished in the eyes of the patient. Patients that have undergone oftentimes lengthy orthodontic treatments are typically motivated by dental health and esthetics. It simply doesn’t make sense to these patients to be … Read more

The Use Of Braces And Invisalign In Pre-Prosthetic Orthodontics

Adult patients present with defined treatment goals and priorities. While some of them would like a full mouth rehabilitation, often their goals are more discrete and specific, looking to fix “just the one thing” that brought them into the office. As health care providers, we have to balance the patient’s wishes with their oral health … Read more

Non-Surgical Compensation Of Skeletal Class III Malocclusions

Class III malocclusions are the least common type of malocclusion, yet they are often more complicated to treat and more likely to require orthognathic surgery for optimal correction.1 The reported incidence of this malocclusion ranges between 1% to 19%, with the lowest among the Caucasian populations2,3 and the highest among the Asian populations.4,5 Class III … Read more

Space Maintainers Made Easy

Primary teeth have many important roles in the health and development of our young patients. Primary teeth are vital to chewing, speaking, smiling, aesthetics and holding space in the jaws for the developing permanent teeth.1 In some cases when a primary tooth is lost due to trauma, infection or early exfoliation, a malocclusion can result … Read more

Palatally Impacted Canines: Early Intervention And Practical Management

Impacted maxillary canines are a relatively rare but always memorable clinical presentation. They occur in just two per cent of the population. Eighty-five per cent of the time, the canine impaction is facial. This usually occurs as a result of excessive crowding. Fifteen per cent of the time canine impaction is palatal. The palatally impacted … Read more

Palatal MSI: Safe, Versatile, Easy

Introduction What next? You’ve attended almost every course on Temporary Anchorage Devices (TAD), and Mini-Screw Implants (MSI). You’ve read the numerous publications in the AJODO, JCO and other orthodontic journals about the benefits of incorporating MSI into your orthodontic practice. You’ve decided on a manufacturer, purchased the kit, the necessary anesthetics and accessories. Finally, you’ve … Read more

Mail-Order Dental Care Has Arrived In Quebec — And Dentists Are Concerned

It seems that in the Internet age, you can get orthodontic treatments done by mail order, without having to visit with an actual orthodontist. A Nashville-based company called SmileDirectClub opened a Montreal-area office just a few weeks ago. It advertises its services heavily online — a cheaper, easier way to get your teeth straightened. Clients … Read more

ClearCorrect Rebrands, Further Expansion in Clear Aligner, Dental, Orthodontics

ClearCorrect, a Straumann Group brand and a leading manufacturer of clear aligners, unveiled today at the American Association of Orthodontists (AAO) 2019 Annual Session a major rebrand as part of a continued investment in its mission to empower dental professionals with technology and tools to help them grow their practices. “ClearCorrect has experienced rapid growth … Read more

Do-It-At-Home Orthodontic Services Hit Ottawa, Spark Questions From Dentists

An American company offering a do-it-at-home teeth straightening service is moving into Ontario. SmileDirectClub, a primarily Internet-based company that was founded four years ago in the United States with a pretty solid pedigree of investors, offers at-home teeth-straightening services. The company’s Ottawa office, which it playfully calls the SmileShop, will open on Metcalfe Street on … Read more

A Multidisciplinary Approach for An Aesthetic Rehabilitation

Abstract Depending on the obstacles that may present, creating a beautiful smile can take on many different scenarios. Moreover, patient demands and the pseudo self-educated using the internet as a reference can add to the challenges of insuring a seamless treatment. However, if your patient is confident in the team that has been assembled and … Read more