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Pediatric Dentistry

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Silver Diamine Fluoride in Caries Management

Dr. Flavia Lamberghini, Pediatric dentist in Chicago, spoke with Dr, Suham Alexander about silver diamine fluoride and its use in caries management.  Highlights Silver diamine fluoride (SDF), although not currently available in Canada, is a safe and effective topical agent which helps to arrest tooth decay in patients with high caries risk who are unable to tolerate conventional care from the very young to the elderly. It is currently being used in the United States and has been used in Japan for more than 80 years. SDF, a colourless solution with a pH of 10, is composed of silver, fluoride and ...

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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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CDA Oasis Webinar: Managing Patients with Enamel Defects

On September 29th, Dr. John O’Keefe held a live webinar on managing patients with enamel defects. His guests were Drs. Nancy Vertel and Melanie Mattson.  Highlights Dr. Nancy Vertel, certified pediatric dentist and Dr. Melanie Mattson, certified orthodontist both from the Vancouver area speak to a live audience about enamel defects in children. Molar incisor hypomineralization issues are more common than practitioners may realize. Enamel defects are important to recognize and effectively manage as they can cause pain due to sensitivity in children. Factors predisposing children to MIH are unclear although different systemic conditions, environmental insults, prenatal and postnatal experiences ...

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What Factors Should You Consider When Restoring Primary Teeth?

Dr. Reza Nouri, Certified Specialist in Pediatric Dentistry in the greater Vancouver area, gives the audience information on restoring primary molars. Highlights Understanding the anatomical differences between permanent and primary molars makes a difference in understanding how to restore the teeth including the type of preparation required as well as the behaviour of the restorative material that will be used to treat the teeth. Dr. Nouri also discusses the indications for unilateral and bilateral space maintainers as well as different types available for use.    

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Tips on Treating Infants and Toddlers in your Practice

In this video, Dr. Reza Nouri gives us practical advice and answers questions he commonly receives from general practitioners regarding the management and treatment of pediatric patients including: What advice do I give parents about infant oral health care? What kind of toothpaste should I use for my infant? What kind of fluoride applications should I use? How do I restore 1° teeth? Watch the video presentation  

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Clinical Tips for Everyday Pediatric and Adolescent Dental Care

Dr. Reza Nouri is a certified specialist in pediatric dentistry, and has been a Clinical Associate Professor in the Faculty of Dentistry at the University of British Columbia since 1994. Highlights Dr. Reza Nouri gives practitioners sage advice about how to help optimize dental health the in the perinatal and infant stages. Good nutrition and its effect on teeth are significant as tooth development starts as early as 5 weeks intrauterine. Similarly, premature birth and low birth weight, as well as smoking and drug abuse by the expecting mother, have detrimental effect on the dentition. Systemic fluoride has neither a preventive nor ...

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51 Million Missed School Hours: a Myth? Dr. Burton Edelstein

Highlights 51 million is an all-too often cited statistic relating to the number of missed school hours amongst the population of US children. But what does this number really reflect? The study by Edelstein and Reisine found that searching for “51 million missed school hours for children” results in a wide range of material related to pediatric oral health. This, itself, contributes to the misinterpretation or misunderstanding of the social implications of children’s oral health. With respect to missed school hours, 51 million really represents less than 1/10 of one percent of the total numbers of hours that children spend ...

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What are some dental considerations in managing pediatric patients with leukemia?

Commentary by Dr. Mike Casas, Sickkids Hospital, University of Toronto For children with leukemia, the oral cavity can be a source of bleeding and infection as a consequence of leukemia or the chemotherapy prescribed to treat it. Good oral health can mitigate the risks of leukemia and chemotherapy as well as improve oral comfort during therapy. Kholoud et al. recommend treating all teeth likely to produce complications 10-14 days prior to chemotherapy. Oncology teams are unlikely to wait to start chemotherapy until after the mouth is optimized. Improved outcomes for leukemia have been demonstrated for patients receiving expedited chemotherapy. It ...

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