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What are the effects of oral health education and motivation on disease prevention and health promotion?

This summary is based on the article published by the Dental Press Journal of Orthodontics: Education and motivation in oral health — preventing disease and promoting health in patients undergoing orthodontic treatment (May-June 2011) Context It is incumbent upon dentists to prevent disease, minimize risks and promote health. Patients also need to be made aware of their role in oral health care. Patients undergoing orthodontic treatment find it particularly difficult to maintain satisfactory oral hygiene owing to the presence of bands, wires and ligatures. It is therefore crucial to establish preventive motivation and guidance methods to ensure mechanical control of dental plaque. In order to promote and maintain satisfactory oral ...

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What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?

This summary is based on the Cochrane systematic review: Ibuprofen versus paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth  Context Both paracetamol and ibuprofen are commonly used analgesics for the relief of pain following the surgical removal of lower wisdom teeth (third molars). In 2010, a novel analgesic (marketed as Nuromol) containing both paracetamol and ibuprofen in the same tablet was launched in the United Kingdom. This drug has shown promising results to date and there is a need to compare the combined drug with the single drugs using this model. In this review, the optimal doses ...

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Call for Expressions of Interest: Pathways Implementation Research Teams

Pathways to Health Equity for Aboriginal Peoples (Pathways) is a CIHR Signature Initiative with an overall goal to develop a better understanding of how to design, implement and scale up population health interventions that will improve Aboriginal health in four exemplars: Suicide, Diabetes/Obesity, Tuberculosis, and Oral Health. The objectives of the EOI phase are to: Inform subsequent launch timelines for the full applications per exemplar Aid in the establishment of potential partnerships for full competitions within each exemplar Assist in informing CIHR and partners on community readiness across the exemplars The Pathways Implementation Research Teams (IRTs) Funding Opportunity supports this ...

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What are the effects of triclosan/copolymer containing toothpastes for oral health?

This summary is based on the Cochrane systematic review: Triclosan/copolymer containing toothpastes for oral health  Context Periodontal disease and dental caries are highly prevalent oral diseases that can lead to pain and discomfort, oral hygiene and aesthetic problems, and eventually tooth loss, all of which can be costly to treat and are a burden to healthcare systems. Triclosan is an antibacterial agent with low toxicity, which, along with a copolymer for aiding retention, can be added to toothpastes to reduce plaque and gingivitis (inflammation of the gums). It is important that these additional ingredients do not interfere with the anticaries effect ...

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Evidence-based prosthodontics: what are the fundamental considerations, limitations, and guidelines?

This summary is based on the article published in the Dental Clinics of North America: Evidence-Based Prosthodontics: Fundamental Considerations, Limitations, and Guidelines (January 2014) Key Messages Prosthodontics is a unique specialty that offers numerous advantages and disadvantages for application of principles of evidence-based dentistry (EBD). An important difference between medical and dental models of care is the level of control a patient has about how, when, and whether it is necessary to treat a dental problem. This is especially true in the discipline of prosthodontics. Hence, an absolute extrapolation of evidence-based concepts from medicine to prosthodontics is not possible. Current lack of “strong” evidence for a particular ...

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Findings of the Dental Economics/ Levin Group 7th Annual Practice Research Report

The Dental Economics Magazine has recently published the findings of the its 7th annual Practice Research Report. This post presents these findings. The survey was conducted among a broad cross-section of U.S. general dentists – from solo practitioners to multidoctor practices, providing care in rural areas, small towns, suburbs, and large cities.  Key Findings Patients are coming back and accepting more treatment but practice profits are not keeping up due to outdated systems, Overhead cost is increasing and collection rates are low: many dentists are doing more work yet have little to show for it. Stress, though reduced, remains too high: perhaps ...

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Does warming composite prior to placing in preparation result in better depth curing?

This question was submitted by a general dentist: Does warming composite prior to placing in preparation result in better depth curing? Dr. Jacinta Santos, Assistant Professor of Restorative Dentistry, Schulich School of Dentistry at Western University, provided a quick initial response  Studies have demonstrated that pre-heating resin composite produces many benefits for the restoration process: Reduced pre-cured viscosity Enhanced adaptation Increased post-cured surface hardness Increased degree of polymerization Research shows that pre-heating composite in a heating device to a temperature of approximately 68°C (± 50 – 55 °C in the composite material) can provide advantages during the restoration process. However, once ...

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Why are flowable resin-based composites so popular?

This summary is based on the Journal of the American Dental Association Perspectives-Observations (December 2013) Advantages of Flowable Resins Flowable resins also vary markedly in viscosity. Some flow almost like water when placed in tooth preparations, and others are relatively putty-like. All brands of flowables are less viscous than are conventional composites. The major reason flowables are popular is one significant singular advantage they flow. Limitations of Flowable Resins The polymerization shrinkage and stress of some flowable composite brands have been shown to be more than those of conventional composites. Recently it has been shown that some new brands of flowables now exhibit wear characteristics similar to those of conventional composites. The strength of some flowables has been shown to ...

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