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Pediatric Dentistry

How to Manage Grinding in Children & Is Grinding a Symptom of Other Problems?

I’d like to sincerely thank Dr. Michael Sigal, Professor in the Faculty of Dentistry at the University of Toronto, who provided a response to two questions that we received following our call for questions in pediatric dentistry.  Dr. Sigal has kindly agreed to respond to other questions, so please email those to us at oasisdiscussions@cda-adc.ca  Chiraz Guessaier, CDA Oasis Manager Questions My question is about grinding in children. I see a good number of kids that grind their teeth and sometimes their dentition is really worn down. How do we treat this and at what age is a night guard ...

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What is the Recurrence of Caries after Treatment under General Anesthesia?

Dr. Reza Nouri, Certified Specialist in Pediatric Dentistry in the greater Vancouver area, comes back to present the following topic: the recurrence of early childhood caries after treatment under general anesthesia. Highlights Early childhood caries (ECC) is the most common chronic childhood disease which involves high expenditures from our healthcare system. Advanced cases of ECC are often treated under general anesthesia (GA) due to the young age of the patient(s). Medical management of these severe cases can cost up to $1400 per patient and this does not address the underlying dental issues. The CIH reports that approximately one third of day surgeries ...

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CE Showcase ASM 2017: Staged Care: New Solutions in Treating Early Childhood Caries

Dr. Ian McConnachie, pediatric dentist in Ottawa, spoke with Dr. Suham Alexander about his session at ASM 2017: Staged Care New Solution in Treating Early Childhood Caries. Highlights The new standard of care for infants and young children is initial examination by first birthday at the latest. In spite of this, many dentists do not follow this, and incidence of early childhood caries remains unacceptably high and treatment needs often require significant interventions, including general anesthesia. A new treatment algorithm will be discussed, along with specific treatment solutions which will assist the general practitioner to treat this child and enjoy doing ...

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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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