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Pediatric Dentistry

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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Do I have to treat a discoloured primary tooth?

When a primary tooth discolours and turns grayish, it is usually secondary to a traumatic episode. The discolouration indicates a necrotic pulp or that hemorrhaging has occurred and entered the dentinal tubules and can appear within a month of the original injury. The tooth may exhibit a light gray colour initially but may progressively darken. Occasionally, the tooth may present with a yellowish colour due to calcific degeneration of the pulpal tissues. Treatment of these teeth is not always indicated unless there is evidence of pathology. As such, appropriate examination and follow-up is necessary in these cases. Source: Dental Secrets, ...

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Are diastemas normal and when should I consider diastema closure?

Midline diastemas in the primary dentition are common. They are usually associated with a thick maxillary frenum attachment and do not warrant treatment. However, clinicians should appropriately assess large midline diastemas in the primary dentition to rule out the presence of supernumerary teeth. In the permanent dentition, maxillary central incisors erupt buccal to the primary centrals and their eruption often creates a midline space. However, as the lateral incisors erupt, the space tends to close and complete closure of this space occurs once the permanent canines erupt. If there is any remaining midline space, this can be addressed orthodontically or ...

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