Managing Hemifacial Microsomia with Total Custom TMJ Replacement

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Introduction: The Oral and Maxillofacial Surgery program at the University of Toronto supports the Cleft Lip Palate and Craniofacial Program at Holland Bloorview Kids Rehabilitation Hospital in numerous ways. The program’s director, residents and the Temporomandibular Joint and Orthognathic Surgery Fellows work collaboratively with staff orthodontist Dr James Noble and the chief of Dentistry, Dr. … Read more

Green Teeth? The Many Shades of Congenital Syphilis

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It is a disease that you will learn about in dental school, but rarely see in actual practice. And given the many, varied features of congenital syphilis, when you do encounter your first case, you may need to review this condition and its presentation. Syphilis, generally, is on the rise in Canada. Between 2005 and … Read more

Interceptive Treatment for Patients with Maxillary Dysplasia

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Orthodontic treatment can be described in 3 main groups based on the timing of treatment delivery as follows: 1) interceptive treatment, 2) comprehensive treatment, 3) adjunctive/limited treatment. Interceptive orthodontics describes orthodontic treatment that occurs during the mixed dentition stage of development. When interceptive treatment is done at the appropriate stage of growth and development (eg. … Read more

Plugged in for Success: Electric Handpieces are the Future. Here’s Why.

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I know that quite a number of dentists remain committed to air-driven handpieces. It was what you used in school. You have established clinical workflows in place with equipment you trust. What I also know is that no matter how long you’ve been practising, whether you’re a high-tech CEREC user or still mixing up alginate, … Read more

Management of Benign Odontogenic Lesions in the Paediatric Patient

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Abstract The identification of lesions within the osseous structures in children is essential to ensure timely surgical intervention, and to minimize or correct hindrances to the development of a healthy dentition and bone structure. These lesions tend to present in the absence of symptoms, are slowly growing, and are commonly identified either as a secondary … Read more

Étude de cas : Présentation d’une Malformation Artérioveineuse à la Mandibule

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Résumé Les malformations artérioveineuses (MAV) sont des lésions vasculaires rares issues d’artères et de veines qui présentent des défauts structuraux d’origine congénitale. Leurs présentations clinique et radiographique particulières en rendent l’identification et le diagnostic complexes par les professionnels dentaires. Cette étude de cas révèle l’histoire d’un jeune homme de 14 ans, autrement en santé, s’étant … Read more

Presentation of a Mandibular Arteriovenous Malformation: A Case Study Report

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Abstract Arteriovenous malformations (AVMs) are rare vascular lesions composed of arteries and veins with congenital structural defects. Their ambiguous clinical and radiographic presentations make their recognition and diagnosis challenging for dental professionals. A healthy 14-year-old male presented to The Hospital for Sick Children (SickKids) in Toronto, Ontario with a chief concern of hematogenous malignancy that … Read more

Paediatric Anaesthesia Neurotoxicity: Bring Back the Papoose Board?

Paediatric Anaesthesia Neurotoxicity: Bring Back the Papoose Board?

Every day children of all ages are sedated or anaesthetized for dental treatment both in the hospital and more commonly now in the dental office. The use of physical restraint for a dental procedure in a child has largely been replaced or significantly reduced with the use of sedative or general anaesthetic drugs. Previously it … Read more

Early Orthodontic Treatment

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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

Keep Calm and Don’t Vape

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It is difficult these days to walk down the street and not have a cloud of smoke engulf your face from a nearby electronic vaping device. My first response to this occurrence is to hold my breath or attempt to dodge the cloud altogether. When I am unable to do so, I am always shocked … Read more

10 Strategies For Handling Parents Of Your Pediatric Patients

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Pediatric patients in the dental office create an interesting environment that can be both exciting and chaotic. Often times, the parents can be far more dramatic than the patients themselves. Parents are trusting your office with their most prized possession. It is imperative for teams to connect both with the parents as well as with … Read more

4 Groups Endorse AAP-AAPD Dental Sedation Guidelines For Children

Four health organizations have added their endorsements to recent guidance from the AAP and American Academy of Pediatric Dentistry (AAPD) that aims to improve the safety of pediatric patients undergoing dental sedation. The American Society of Anesthesiologists, Society for Pediatric Anesthesia, American Society of Dentist Anesthesiologists and Society for Pediatric Sedation issued a statement (http://bit.ly/2LO9miP) … Read more

Dental Infections in Kids Tied to Heart Disease Risk in Adulthood

Children who develop cavities and gum disease may be more likely to develop risk factors for heart attacks and strokes decades later than kids who have good oral health, a recent study suggests. Researchers did dental exams for 755 children in 1980, when they were eight years old on average, then followed them through 2007 … Read more

The Importance of Breastfeeding

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Breastfeeding goes back thousands of years, as in other mammalian species for good reason. At birth, the infant is nourished by breastfeeding which coordinates the respiratory system, cardiovascular system and orofacial reflexes. There is obligate nasal breathing in the human infant during the first six months of breast suckling achieved through an epiglottic-palatal lock. The … Read more