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Dental Specialties

Are there any detrimental effects of tooth-whitening agents on enamel?

This question was submitted by a general dentist: Are there any detrimental effects of tooth-whitening agents on enamel? Some have shown increased microfracture in the enamel seen only under SEM; however, is it clinically relevant? Dr. Laura Tam, from the Faculty of Dentistry at the University of Toronto, and Dr. Suham Alexander provided this quick initial response     Tooth whitening has become an increasingly popular esthetic service for patients and is well-integrated in dental practices. At-home whitening with carbamide peroxide and hydrogen peroxide (H2O2) was originally part of a complete dental procedure which included the dentist examining the patient ...

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Does treating periodontitis improve the atherosclerotic profile? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Treatment of periodontitis improves the atherosclerotic profile: a systematic review and meta-analysis (January 2014) Wijnand J. Teeuw, Dagmar E. Slot, Hendri Susanto, Victor E. A. Gerdes, Frank Abbas, Francesco D’Aiuto, John J. P. Kastelein and Bruno G. Loos   Courtesy of Wiley Publishing, access the full-text article for the next three months here Context A large number of studies have reported on the relationship between periodontitis and cardiovascular disease (CVD). (1, 2) Periodontitis is a common chronic multifactorial infectious disease of the supporting structures of the ...

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How are vertical root fractures managed?

This summary is based on the article published in the Journal of Conservative Dentistry: Vertical root fractures and their management (March – April 2014) Sandhya Anand Khasnis, Krishnamurthy Haridas Kidiyoor, Anand Basavaraj Patil, and Smita Basavaraj Kenganal     Context Vertical root fractures associated with endodontically treated teeth and less commonly in vital teeth represent one of the most difficult clinical problems to diagnose and treat. In as much as there are no specific symptoms, diagnosis can be difficult. Clinical detection of this condition by endodontists is becoming more frequent, where as it is rather underestimated by the general practitioners. ...

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How effective are periodontal plastic surgery procedures in the treatment of localized facial gingival recessions? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review (April 2014) Cairo F, Nieri M, Pagliaro U.     Context The treatment of gingival recessions with periodontal plastic surgery procedures is possible request in modern dentistry (1). The ultimate goal of these procedures is the complete root coverage (CRC) and pleasant aesthetic outcomes (2, 3). Purpose of the Review The aim of this Systematic Review was to assess the clinical efficacy of periodontal plastic surgery procedures in the ...

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What is Hookah and why is it making headlines?

On July 7, 2014, a new study was published in the journal Pediatrics, published by the American Academy of Pediatrics, about the use of Hookah by US high-school seniors: Hookah Use among US High School Seniors. The study examined the prevalence of hookah use which is significantly increasing among adolescents and aimed at delineating demographic and socioeconomic correlates of hookah use among high-school seniors in the United States. Researchers evaluated data from 5,540 students who were asked about hookah use from 2010-2012. They found that nearly 1 in 5 high school seniors had smoked using a hookah at least once in ...

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What is gutta percha and how did it come to be used in dentistry? An interview with Dr. Mary Dabuleanu

Dr. Suham Alexander, Oasis Clinical Editor, interviewed Dr. Mary Dabuleanu, Endodontist at Dabuleanu Dental about the history of gutta percha and its use in dentistry.                 Listen to the Audio Interview (11 mins)   References Jeon KA, Lee IB, Bae KS, Lee WC, Baek SH. Measurement of thermal expansion characteristic of root canal filling materials : Gutta-percha and Resilon. J Kor Acad Cons Dent. 2006;31(5):344-351. doi: 10.5395/JKACD.2006.31.5.344.   Khatavkar RA, Hedge V. The weak link in endodontics: Gutta-percha – A need for change. World J Dent. 2010;1(3)217-24. Shipper G, Ørstavik D, Teixeira FB, Trope M. An ...

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What are the options for treating Papillary Hyperplasia in chronic denture wearers?

This question was submitted by a general dentist: What options do we have in treating Papillary Hyperplasia in chronic denture wearers?  How successful is treatment with medication (e.g. Nystatin ointment etc.) alone? Drs Joseph Fava and Suham Alexander prepared the following response: Inflammatory papillary hyperplasia, also known as denture stomatitis, is a reactive tissue growth that is related to denture wear in most instances. Some contributing factors include: Chronic denture wear (i.e. 24 hours/day) Poor oral and denture hygiene Ill-fitting dentures Yeast colonization Allergic reactions to base materials Smoking Malignancies, nutritional deficiencies, endocrinologic disorders The asymptomatic condition has a prevalence of ...

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Who should do the post-endodontic restoration – the restorative dentist or the endodontist?

This question was submitted by a general dentist: Who should do the post-endodontic restoration – the restorative dentist or the endodontist? Drs. Stephen Ferrier, Manny Friedman, and Suham Alexander prepared the following response The most important aspect of the post-endodontic restoration is establishing a sound coronal seal to prevent re-infection of the root canal system and to protect the weakened tooth from mechanical failure. Ideally, this should be completed when the endodontic obturation is done. Whether or not this is the ‘final’ or ‘ultimate’ restoration depends upon the tooth. The coronal seal may take the form of a: Core (including postless ...

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