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Dental Specialties

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How to correct a non-skeletal anterior crossbite with Dr. David Kennedy

Dr. Chiraz Guessaier spoke to Dr. David Kennedy, Clinical Professor and Co-clinical Director of the graduate orthodontics program at the Faculty of Dentistry, UBC, about the pertinence of early orthodontic treatment to correct a non-skeletal anterior crossbite. Access the PPT Presentation of this video (PDF) Highlights Correction of non-skeletal anterior crossbites are fairly easy to recognize and can be treated successfully. In order to determine if early orthodontic intervention is required, the clinician can ask him/herself 3 questions: If I treat this condition now, will I still have more to do at a later date? If I don’t treat this ...

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When Should You Refer a Case for Endodontic Treatment?

Drs. Gevik Malkhassian and Craig Bellamy, Endodontists in Toronto, spoke with Dr. John O’Keefe about when general dentists should refer patients for endodontic treatment.  Highlights While mid-treatment challenges can occur in a seemingly “straight forward” endodontic treatment, a careful pre-assessment of the tooth and one’s own skill and expertise can minimize and/or prevent some of these challenges before treatment is started. In some instances, it may be determined that an endodontic referral is in the best interest of the patient and the practitioner. Some of the questions to consider include: Do I feel comfortable completing this treatment? Have I successfully treated ...

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3D Printing a Smile: The Use of 3D Technology in Dentistry

Dr. William Martin, from the University of Florida, spoke with Dr. Chiraz Guessaier about 3-D printing in implant dentistry. Highlights 3-D printing has had the biggest impact on the surgical side of implantology as surgical templates can be printed and used for implant placement. Additive manufacturing is an advantage as it is not as wasteful of materials; however, it can have added costs as the printers require frequent maintenance and printing time can vary based upon the machine being used. 3-D printing has given implant dentistry the ability to manufacture surgical templates that would not have been able to be ...

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How to Avoid Common Endodontic Pitfalls in General Practice

Dr. Viraj Vora speaks to Dr. John O’Keefe about how to avoid pitfall in endodontics. This is important to keep patient satisfaction high and practitioner stress levels low. Key messages Good diagnosis of the patient’s problem and treatment planning is essential Proper case selection is also important for success Send appropriate cases to an endodontic specialist Avoid cases that will be unsuccessful that may lead to patient retention or litigation issues in the future Know your own level of expertise and your limitations – be honest with yourself Remember that patients gather information from various sources (friends, colleagues and internet searches) ...

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Impact of Proton Pump Inhibitors on Implant Osseointegration

Dr. Faleh Tamimi, Assistant Professor in the Faculty of Dentistry at McGill University, spoke with Dr. Chiraz Guessaier about the research he conducted and the articles he co-authored on the impact of proton pump inhibitors on implant osseointegration. Highlights Systemic administration of omeprazole interferes with bone healing and implant osseointegration: an in vivo study on rat tibiae Proton pump inhibitors, over-the-counter drugs taken by millions of patients, diminish bone accrual. Accordingly, we hypothesized that these drugs could impair bone healing and implant osseointegration. This study investigated the effect of post-operative systemic administration of omeprazole on bone healing and implant osseointegration ...

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Impact of Antihypertensive Drugs on Implant Osseointegration

Dr. Faleh Tamimi, Assistant Professor in the Faculty of Dentistry at McGill University, spoke with Dr. Chiraz Guessaier about the research he conducted and the articles he co-authored on the impact of proton pump inhibitors on implant osseointegration. Highlights Propranolol enhances bone healing and implant osseointegration in rats’ tibiae Propranolol, a non-selective b-blocker widely used to treat cardiovascular conditions, favours bone accrual. Accordingly, we hypothesized that propranolol could be useful for improving bone healing and osseointegration. This in vivo study was designed to investigate the effect of propranolol on bone healing and osseointegration in rats’ tibiae. On 24 Sprague–Dawley rats, a unicortical defect was ...

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A Paradigm Shift in Periodontal Disease

Drs. Ian Needleman and Adam Roberts spoke with Dr. Suham Alexander about a new paradigm shift in periodontal disease.  Highlights Periodontal disease is a progressive condition associated with bacteria. There has been little in terms of innovation with respect to periodontal disease. Traditional approaches have focused on eliminating bacteria; however, there may be alternative or adjunct treatments which can influence the ecology of the oral cavity. It is impossible to “sterilize” the oral cavity. This has led to new thinking about the use of probiotics as an adjunct to periodontal disease treatment. Various diseases are linked to dysbiosis in the ...

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What is the Impact of Using Antimicrobials on the Development of Bacterial Resistance in Periodontal Disease?

Drs. Ian Needleman and Adam Roberts spoke with Dr. Suham Alexander about the impact of antimicrobials on bacterial resistance in periodontal disease.  Highlights Antimicrobial resistance is a newsworthy item in healthcare. This is a global dilemma as bacteria are able to proliferate in the presence of antibiotics which are meant to eliminate them. Overuse, misuse and inappropriate use in farming, agriculture and healthcare has led to this phenomenon. Every single use of antibiotics increases the selective pressure wherever they are to develop resistance which can happen in an instant. Resistant phenotypes can occur whether or not an antibiotic has been ...

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