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Author Archives: JCDA Oasis

Periodontitis and atherosclerotic cardiovascular disease: what does the consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases say?

This is the summary of the report issued by the Joint European Federation of Periodontology and the American Academy of Periodontology Workshop on Periodontitis and Systemic Diseases: Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases (April 2013)  Context This consensus report is concerned with the association between periodontitis and atherosclerotic cardiovascular disease (ACVD). Periodontitis is a chronic multifactorial inflammatory disease caused by microorganisms and characterized by progressive destruction of the tooth-supporting apparatus leading to tooth loss; as such, it is a major public health issue. Periodontitis leads to entry of bacteria ...

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Diagnosing periodontal disease: what is the periodontal classification system?

This question was submitted by a general dentist: What are the latest thoughts on periodontal disease and the classification used for its diagnosis? Dr. Sayed Mirbod, representing the Canadian Academy of Periodontology (CAP), provided this initial quick response The benefit of a classification system is to provide a framework to study the etiology, progression and treatment for a disease. The system can also be used by clinicians to organize their patients’ health-care needs. Diagnosing periodontal disease is directly related to the classification system that is used by the clinician and the variations in the definition of periodontal health, gingivitis and periodontitis ...

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What are the questions you should ask when selecting an intra-oral camera?

On an experimental basis, we have asked a limited number of companies to provide us with practical “How To” answers to clinical questions. We were prompted to conduct this experiment when dental team members told us that they visit company websites and consult company representatives for practical clinical information. We look forward to receiving your feedback on this experiment.  By Denika Smallwood The benefits of incorporating an intra-oral camera are well known; in fact, the top 10 reasons why you should be using one in your practice was explained in Carestream Dental’s recent blog post. However, knowing why you should ...

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View from the Chairside: October, Healthy Workplace Month

By Dr. Lesia Waschuk Dr. Waschuk is a Toronto dentist with a certificate in creative writing and an interest in narrative medicine, which is the discipline and practice of writing about illness and recovery and the health care encounter from both the provider’s and the patient’s point of view. In this space, Lesia will be writing about wellness and sharing articles and links to resources on health-related topics.   Did you know that October 10 is World Mental Health Day? And that October is Healthy Workplace Month? The slogan for this national initiative is Workplace Wellness Fosters Healthy Minds. The tagline for week 2 is ...

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Posterior Partial Coverage Restorations: how fracture resistant and what is the risk of failure?

This summary is based on the article published in the Journal of Esthetic and Restorative Dentistry: Evaluation of fracture resistance and failure risks of posterior partial coverage restorations (April 2013) Context The interest in posterior partial coverage restorations has increased because these restorations provide a more conservative treatment option than traditional cohesively based restorations; however, material selection has been a controversial topic in the current literature. Purpose of the Study To evaluate the fracture resistance of posterior partial coverage restorations restored with different materials, examine their stress distribution, and calculate failure risks using three-dimensional (3D) finite element analysis. Key Messages Fracture resistance and ...

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Efudex: Should it be prescribed by dentists?

This question was submitted by a general dentist: When discussing sun damage to lips, a couple of patients indicated that their physician prescribed Efudex. There is apparently no follow-up by the physician and no indication to the patients as to what the desired outcome of the said treatment should be. Should dentists be prescribing this medication and what would the appropriate follow-up and regimen be with this chemotherapeutic agent? Dr. Mark Donaldson provided the following initial and quick response Dr. Mark Donaldson is Director of Pharmaceutical Services at the Kalispell Regional Medical Center,  Clinical Professor in the Department of Pharmacy at ...

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How to preserve coronal tooth fragments prior to reattachment?

This summary is based on the article published in the Australian Dental Journal: Preservation of coronal tooth fragments prior to reattachment (September 2013) Shirani F, Sakhaei Manesh V, Malekipour M. Preservation of coronal tooth fragments prior to reattachment. Aust Dent J. 2013 Sep;58(3):321-5. Context Crown fractures are the most common form of dental injuries caused by trauma. If the fragment is retrieved after the trauma, reattachment could be a viable treatment option. Reattachment of the tooth fragment is a well accepted treatment option in dealing with crown fractures. Hydration of the fragment is an important aspect in this treatment. Purpose of the Study The ...

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Are there metabolic changes of dental pulp after rapid palatal expansion (RPE)?

This summary is based on the article published in the journal of Orthodontics and Cranofacial Research: Metabolic changes of human dental pulp after rapid palatal expansion (August 2013) F. L. Wei; J. Geng; J. Guo; Q. Y. Guo; H. Wang; D. X. Liu; B. J. Zhang; C. L. Wang. Metabolic changes of human dental pulp after rapid palatal expansion. Orthod Craniofac Res. 2013 Aug;16(3):185-92.  Context Rapid Palatal Expansion is (RPE) is an orthopedic technique frequently used to correct maxillary constriction and posterior cross-bite. High forces are produced during active expansion of the mid-palatal suture by RPE. Recently, the response of dental pulp tissue to orthodontic treatment ...

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