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How accurate, clinically effective, and cost-effective are light-based screening techniques for the early detection of oral cancer?

By Lieutenant-Colonel Jean Pierre Picard Lieutenant-Colonel Jean-Pierre Picard is a Periodontist of the Canadian Armed Forces. He is currently the Deputy Commanding Officer of 1 Dental Unit and the Royal Canadian Dental Corps Periodontics Practice Leader. Lieutenant-Colonel Picard is also an examiner for the National Dental Specialty Examination in Periodontics of the Royal College of Dentists of Canada, the Treasurer of the Canadian Academy of Periodontology (CAP), and the CAP representative to the Canadian Dental Specialties Association. Dentists are, by way of formal education and expertise, the health care providers best equipped to detect abnormalities of the oral cavity and ...

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Deep Coma and Dentistry: Could a Montreal Researcher’s Finding Help Save Lives?

Dr. Florin Amzica of the University of Montreal faculty of dentistry recently published in PLoS ONE an article on never before reported cerebral activity in people with a flat electroencephalogram (EGG). Dr. Amzica is an associate professor and the head of the laboratory on sleep neurophysiology and altered state of consciousness at the University of Montreal. His research interests include the understanding and management of dentistry-related sleep disorders. The JCDA Oasis team spoke with Dr. Amzica to find out more about his groundbreaking finding. Here are the study key points. Research highlights Brain activity extends beyond deep coma associated with ...

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Diabetes and periodontal diseases: 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: Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases (April 2013) Context Diabetes and periodontitis are complex chronic diseases with an established bidirectional relationship. There is long-established evidence that hyperglycemia in diabetes is associated with adverse periodontal outcomes. However, given the ubiquity of periodontal diseases and the emerging global diabetes epidemic, the complications of which contribute to significant morbidity and premature mortality, it is timely to review ...

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Do self-etch adhesives cause less postoperative sensitivity than etch-and-rinse adhesives?

This summary is based on the critical appraisal published in the Journal of Esthetic and Restorative Dentistry: Post-op Sensitivity with Direct Composite Restorations (August 2013) Studies Reviewed Total-etch versus Self-etch Adhesive: Effect on Postoperative Sensitivity. Journal of the American Dental Association 2003 (134:1621–9) Postoperative Sensitivity in Class I Composite Resin Restorations in Vivo. Journal of Adhesive Dentistry 2006 (8:53–8) Clinical Evaluation of a Two-step Etch & Rinse and a Two-step Self-etch Adhesive System in Class II Restorations:Two-year Results. Operative Dentistry 2009 (39:656–63) Effect of Glass-ionomer Cement Lining on Postoperative Sensitivity in Occlusal Cavities Restored with Resin Composite—A Randomized Clinical Trial. Operative Dentistry 2009 (34:648–55) Key Messages Much ...

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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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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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Is there evidence for the periodontal-systemic association?

In a Special Issue (April 2013), the Journal of Clinical Periodontology presented a series of articles that explored the association between periodontitis and some systemic diseases. The following is a summary of the article: Periodontal systemic association: review of the evidence Context The review aims to critically appraise recent research on the associations between periodontal disease and systemic diseases and conditions, specifically respiratory disease, chronic kidney disease, rheumatoid arthritis, cognitive impairment, obesity, metabolic syndrome, and cancer. Key Messages There was substantial heterogeneity in the definitions used to identify periodontitis and very few studies met a stringent threshold for periodontitis. There is a need ...

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What is the clinical evidence on approaches to caries removal?

This summary is based on the Critical Appraisal published in the Journal of Esthetic and Restorative Dentistry: Approaches to caries removal: what the clinical evidence says (April 2013) Context  It is very common that complete caries removal in vital, asymptomatic teeth with deep carious lesions ends in unavoidable exposure of the pulp. As a result, the complexity and cost of treatment increases dramatically and many patients are left with extraction as their only viable option.The review appraises evidence which supports alternative treatments designed to preserve the vitality of the tooth and thus avoid extraction. Studies Reviewed Evaluation of Atraumatic Restorative Treatment and Sealants under ...

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