How Do We Know What We Know?

We go through life on many roads picking up information and details as we grow, mature and age. The journey of life is a journey of knowledge. How do we gain knowledge? How do we know what we know? The ancient Greeks created a branch of philosophy dedicated to this question called epistemology. A quick … Read more

The Neutrophil in Oral Health and Disease: The New Diagnostic Biomarker

Introduction Neutrophils (Polymorphonuclear neutrophils or PMNs) are a highly abundant white blood cell type, that are the first cells recruited to acute sites of infection. Through their essential role in immune surveillance and maintenance of organismal homeostasis, PMNs innately recognize tissue damage and infection, quickly home to relevant sites throughout the body and destroy invading … Read more

Guided Biofilm Therapy: Why and How of Oral Biofilm Management

Introduction Dental plaque, what has been re-termed “oral biofilm”, has long been connected with periodontal problems and to a lesser extent caries related to the bacteria contained within it. Oral bacteria have long been ignored for any effects outside the oral cavity. Yet, research has been accumulating directly connecting a link between oral health and … Read more

Surface Treatments of Non-Cavitated Proximal Lesions

Introduction Most restorative dental treatment is because of dental caries, the most-prevalent disease in humans. Unchecked dental caries infection causes dentinal spread (cavitation) and destruction of tooth surfaces. Although we have been well trained as dental clinicians to diagnose caries lesions as early as possible, identifying the presence of early caries lesions proves to be … Read more

Dental Implant Self-Care: Implant Supported Dentures (Second in a Series)

Implant supported dentures provide many individuals with a better quality of life, but this is not without some challenges. Specifically, what is the recommended self-care for this type of prosthesis? There are two areas for discussion: removable dentures and fixed dentures. Research in the area of implant self-care is limited and often based on low-level … Read more

Key Factors in Maintenance Protocols for Dental Implant Restorations – A Scoping Review

Statement of Problem It has been established that maintenance is of utmost importance in the delivery of comprehensive prosthodontic treatment. Therefore, consideration of the possible factors which impact the maintenance phase is essential to take into account during the treatment planning stage. Although, most clinicians recognize the importance of prosthesis maintenance, few of them are … Read more

Probiotics and Their Potential for Adjunctive Use in Periodontal Therapy

The main objective in the treatment of periodontitis is removal and disruption of bacterial biofilm.1 This can be performed via non-surgical approach (scaling and root planning/SRP) or via surgical approach by employing open flap debridement (OFD) for deeper inaccessible periodontal pockets.2 Along with oral hygiene instructions for improved oral care at home, this can result … Read more

Medical Treatment of Dental Caries With a New 25% Xylitol Formulation

Dental Caries

Background Even with the declining prevalence of dental caries in industrialized countries during the past decades, predominately due to fluoride use, 1 dental caries is still a major problem in most industrialized countries, affecting 60% to 90% of children, and the vast majority of adults. 2 Also, there is mounting international evidence that this decline … Read more

Glass Ionomer Fissure Sealants for Proactive Intervention

Fissure Sealants

Occlusal decay and its consequences have a major impact on the dental health of our patients. It is the single most common chronic childhood disease world-wide 1 and its results affect our patients throughout their lives. Molars and premolars are vulnerable, especially during their eruption phase. Deep pits and fissures provide an ideal environment for … Read more

Clinical Uses for Silver Diamine Fluoride

Silver Diamine Fluoride

I first began using silver diamine fluoride (SDF) in my private pediatric dental practice in 2015. Minimally Invasive Dentistry is a topic near and dear to my heart as a mother and advocate for improving children’s oral health and safety. My own daughter having surgery under general anesthesia at just nine months coupled with experiencing … Read more

Silver Diamine Fluoride Unstained and Liberated

The concept of using amputation to treat an infectious disease was last used by the medical profession to treat gangrene in the late 1800s. The pharmacological management of dental caries aims to leave most caries in situ, killing the bacteria and enabling infected dentin to heal as arrested caries. A way of achieving this is … Read more

Enhanced Minimal Invasive Tooth Whitening

Keywords Minimal Invasive Dentistry, Tooth whitening, White spot lesion, CPP-ACP, MI Paste Abstract This article discusses the philosophy behind the clinical protocols to achieve enhanced results in tooth whitening, and the successful reversal of enamel white spot lesions. External tooth whitening has long been recognized as having successful but variable results. An often-unintended consequence of … Read more

Psoriasin: A New Biomarker in the Identification of Cancer Risk in Oral Lesions

Introduction Approximately 90% or more of oral cancers are squamous cell carcinomas (OSCCs). These often begin as potentially malignant oral lesions such as a white patch (leukoplakia; Fig. 1), or red patch (erythroplakia; Fig. 2), 1 which progress to an invasive cancer.1 Although the term “premalignant” is widely used for such lesions, the term “potentially … Read more

PERSPECTIVE. FOCUS. SUCCESS!

Dental Caries

What an amazing world we live in – constant information at our fingertips…news…views…and more…till we plead for a break. We are constantly plugged into some device spewing data and opinion at us, so that we start to confuse opinion for fact and our own opinions become suspect. What are they really based on? The 24/7 … Read more

Post-Extraction Socket and Ridge Preservation

Dental Caries

In order for implant therapy to be successful there is a need for the dental implant to be adequately integrated into host bone in the proper position in three dimensions. For this to be achieved, adequate height and volume of alveolar bone is required. However, the alveolar ridge is prone to resorption following extraction of … Read more

Effect of Toothbrushing with a Dentifrice on Eleven Resin Composites

Resin Composites

Keywords Composite Resin, Gloss retention, Tooth Brushing, Surface Roughness Abstract The surface gloss and average surface roughness (Ra) of eleven RBCs was measured after brushing with Colgate Optic White toothpaste. It was found that toothbrushing with a dentifrice had the least effect on the surface of Mosaic Enamel and Filtek Supreme Ultra composites, and the greatest … Read more

Incorporating Glass Ionomers into Everyday Dental Practice

Introduction General dentists in private practice place numerous direct tooth colored resin restorations because of patient demand for more aesthetically pleasing restorations. In other instances, they utilize tooth colored adhesive dentistry because of its benefits of minimally invasive preparation design and adhesive retention to preserve tooth structure. The placement of these indirect and direct tooth … Read more

Bioactive Dentistry with Giomers

In years past, traditional restorative care relied on treating damaged and decayed teeth with aggressive preparation to place a strong, firm restoration. The emphasis was on the strength of the restoration, and less about the function and biomechanics of the final restored tooth. Unfortunately, this often led to weaker teeth and complications such as root … Read more