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Dental Specialties

Improving the Quality of Dental Trauma Care: Two Cases

Dr. Raymond Lee, Chief of Dentistry at the London Health Sciences Centre, spoke with Dr. John O’Keefe about some common mishaps occurring when treating children with traumatic dental injuries. Highlights Dr. Lee has learned from experience that assumptions can sometimes lead to increased pain and less desirable outcomes for young patients. Dental trauma, including fractured teeth, are frequent in young children that have not gained their balance when learning to walk for example. As such, these young children will present frequently with injuries ranging from slight extrusion to complete avulsion of the teeth as the primary teeth have short roots and ...

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The Use of Regenerative Techniques in Endodontics

In this short discussion, Dr. Isabel Mello, an endodontist from Dalhousie University, speaks with Dr. Suham Alexander about the use of regenerative techniques in endodontics. Highlights Regenerative techniques, although newer, have been used in apexification for teeth with necrotic pulps and open apices. This procedure is used to help revascularize teeth necrotic pulps and incomplete root formation, poor crown:root ratios, open apices and thin dentinal walls. Revascularization has the potential to improve these issues compared to other techniques. The technique still requires disinfection of the root canal system, intracanal medicaments, stem cells which are already present in the environment and a ...

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How to Correct a Transverse Posterior Crossbite with Dr. David Kennedy

Dr. David Kennedy, orthodontist, at the faculty of dentistry at UBC spoke with Dr. Chiraz Guessaier about the correction of transverse posterior crossbites. Access the PPT Presentation of this video (PDF) Highlights In patients with posterior crossbites, early treatment will frequently permanently correct the condition. A posterior crossbite with a functional shift left untreated can lead to some adaptive growth changes. Additionally, managing this condition later on is often more difficult to treat. The most common posterior crossbite is one in which there is a unilateral presentation and there is a functional shift of the mandible. This constitutes ~80-90% of ...

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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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