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Dental Specialties

What strategies may be implemented for bleach-induced tooth sensitivity?

A patient reports tooth sensitivity during the initial phase of tooth-whitening procedures, what strategies may be implemented? Pulpal penetration of peroxide, dehydration, and tray-related tooth movements have been implicated in bleach-induced tooth sensitivity. This sensitivity is transient and generally dissipates within a short time. Strategies Decreasing the contact intervals may be a start, using 1-hour instead of 2-hour contact times or even every other day. Decreasing the concentration of the product chosen, 10% or less carbamide peroxide rather than higher levels, is a second choice. It has been reported that not pre-brushing the teeth decreases sensitivity without undue impairment in ...

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Case Conference: Managing a case of gingival recession. Case Resolution

Dr. Trudy Nwachukwu, third-year Periodontics Resident at the University of Manitoba, presents the resolution of the case on gingival recession using two grafting techniques. At the end of the video, Dr. Anastasia Cholakis discusses the dentists’ feedback that we received for this case.  We would like to thank our viewers who took the time to respond to the case questions and leave their feedback.  Click here to watch the case presentation   Dr. Trudy Nwachukwu is a 2004 graduate of the University of Benin, Nigeria. She practiced general dentistry in Dublin, Ireland before completing a Masters degree in Dental Public Health at ...

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Case Conference: How would you deal with a fearful child?

One of CDA Oasis priority topics for 2015 is communication and its role in the success of the dental practice. We are pleased to present a series of made-up scenarios related to various aspects of communication in the dental office. In the first phase of this case conference, we request that you provide your comments and feedback as to how you would handle such situation.  In the second phase of this case conference, Drs. Christine Chambers and Ross Anderson will respond to your comments and feedback and will present important information on how to deal with anxious children in the dental office.    ...

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Embracing the infant first visit – one GP dentist’s experience

By Dr. John O’Keefe When I sat in the waiting room at the office of Dr. Janet Leith of Ottawa for my recall visit recently, the first thing I noticed was the prominently featured CDA poster informing patients that her dental office encourages parents to bring their children for a first dental visit by age one. At the end of my visit, I sat and asked Janet  about when she had incorporated this approach into her practice, what trepidation she had prior to adopting it, how she used it as a practice building strategy and what sort of benefits she ...

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What is the incidence and related factors of middle mesial canals in mandibular molars?

This summary is based on the article published in the Journal of Endodontics: Middle Mesial Canals in Mandibular Molars Incidence and Related Factors (January 2015) Ali Nosrat, DDS, MS, Raney J. Deschenes, DMD, MS, Patricia A. Tordik, DMD, M. Lamar Hicks, DDS, MS, and Ashraf F. Fouad, BDS, DDS, MS Context The aim of root canal therapy is to eliminate all irritants from the root canal system. These irritants include necrotic pulp tissue, microorganisms, and their byproducts. A detailed knowledge of the pulp canal anatomy is necessary to effectively clean and shape the root canal system. Mandibular molars are the ...

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What should be included in an infant dental health program?

This information was adapted from Dental Secrtes, Elsevier, 2015. Download the Animated PowerPoint Presentation Download the PowerPoint Presentation (PDF)   Watch the video presentation Infant Dental Health Program from Canadian Dental Association on Vimeo.  

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What are non-nutritional sucking habits and what are the best interventions?

Non-nutritional sucking habits are learned patterns of muscular contraction. The most common types are: Finger habit Lip wetting or sucking Abnormal swallowing or tongue thrusting Abnormal muscular habits Sucking is the best-developed sensation avenue for an infant. Deprivation may cause an infant to suck on the thumb or finger for additional gratification. If a child stops non-nutritional sucking habits within his or her first 3 years of life, the damage usually is limited to the maxillary anterior segment and presents as an open bite. If the habit continues past 3 years, the damage may be long-lasting and detrimental to the developing dentoalveolar structures. After 4 ...

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Are there side effects of intravenous midazolam sedation when used in paediatric dentistry? A review

This summary is based on the article published in International Journal of Pediatric Dentistry: Reported side effects of intravenous midazolam sedation when used in pediatric dentistry: a review (May 2015) Arathi Papineni Mcintosh, Paul Francis Ashley and Liege Lourenco-Matharu   Context Intravenous (IV) midazolam may be of value as an alternative pediatric dental sedation technique, but there is some apprehension concerning its routine use due to a lack of evidence regarding its safety and side effects. Purpose of the Review To review all available literature reporting the side effects of IV midazolam in children undergoing dental procedures. Key Findings There ...

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