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Pediatric Dentistry

What is the difference between natal and neonatal teeth?

Natal teeth are present at birth, whereas neonatal teeth emerge through the gingiva during the first month of life. There is a large range in the reported prevalence of natal teeth. One study used two methods of determining prevalence: method 1 prevalence was 1 in 3667 births and method 2 prevalence was 1 in 716 births. In previous studies, the prevalence ranged from 1 in 1000 to 30,000 births. Characteristics of natal teeth 95% are the actual primary teeth; 5% are supernumerary teeth. All natal teeth observed in one study were mandibular central incisors. A family history of natal teeth has been established in ...

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CDA Oasis Conversation: Adopting a risk-management approach to treat early childhood caries

Dr. Ian McConnachie, pediatric dentist in Ottawa, ON, spoke with Dr. John O’Keefe about the importance of preventing early childhood caries. Key Points The concept of first exam by first birthday has been a standard of care in Canada for over 10 years. However, parents knowing about the standard and seeking care for their infants are unable to find dental offices willing  to take on these children. At the same time, the early childhood epidemic, the needs for treatment under general anesthesia, and the morbidity of the disease continue to be at unacceptably high levels. Thirty one percent (31%) of ...

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Is there an association between sleep bruxism and psychosocial factors in children and adolescents? A systematic review

This summary is based on the article published in Clinical Pediatrics: Association between Sleep Bruxism and Psychosocial Factors in Children and Adolescents: A Systematic Review (May 2015) Graziela De Luca Canto, DDS, MSc, PhD; Vandana Singh, DDS, MSc; Paulo Conti, DDS, MSc, PhD; Bruce D. Dick, PhD, RPsych; David Gozal, MD; Paul W. Major, DDS, MSc, FRCD(C); and Carlos Flores-Mir, DDS, MSc, DSc, FRCD(C) Context Bruxism is defined as the “repetitive jaw-muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible.”1 Bruxism has 2 distinct circadian manifestations: It can occur during sleep ...

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Artificial food colorings and sugars commonly consumed by children: How much are we talking about?

This summary is based on the Commentary published in Clinical Pediatrics: Amounts of Artificial Food Dyes and Added Sugars in Foods and Sweets Commonly Consumed by Children (April 2015) Laura J. Stevens, MS, John R. Burgess, PhD, Mateusz A. Stochelski, BS, and Thomas Kuczek, PhD Context Artificial food colors (AFCs) are used to color many beverages, foods, and sweets in the United States and throughout the world. In the United States, the Food and Drug Administration (FDA) limits the AFCs allowed in the diet to 9 different colors. The FDA certifies each batch of manufactured AFCs to guarantee purity and ...

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Oasis Patient Resource: A healthy mouth for your baby

This video and additional materials are provided to dentists to use for patient information. If you are interested in using the video in your own practice, please email us at oasisdiscussions@cda-adc.ca and we will gladly provide you with the original Powerpoint presentation as well as the video file. You will then be able to customize it with your own logo and office information.  Download the PDF version  Watch the video presentation      

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What is the incidence of pain and analgesic use following restorative and surgical procedures in children and adolescents?

This summary is based on the article published in Pediatric Dentistry: Discomfort Following Dental Procedures for Children (January/February 2013) Nicole M. Staman, DDS • Janice A. Townsend, DDS, MS • Joseph L. Hagan, ScD Context Pain has been undertreated across all age groups due to misunderstandings about analgesic use, concerns over addiction, and the mistaken belief that children do not perceive pain.3 Although numerous studies evaluating dental pain in adults appear in the dental literature, there are relatively few studies in children. Practitioners may not consider pain relief necessary for pediatric patients, as the procedures are routine and not perceived ...

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What are the effects of orthodontic treatment for class II malocclusion in children?

This summary is based on the Cochrane Oral Health Group review: Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children (November 2013) Badri Thiruvenkatachari, Jayne E Harrison, Helen V Worthington, Kevin D O’Brien Context Prominent upper front teeth are a common problem affecting about a quarter of 12-year old children in the UK. The correction of this condition is one of the most common treatments performed by orthodontists. This condition develops when the child’s permanent teeth erupt and children are often referred to an orthodontist for treatment with dental braces to reduce the prominence of the teeth. ...

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What are the current standards for treatment of permanent teeth that have had trauma and require apexification?

This question was submitted by a general dentist: What are the current standards for treatment of permanent teeth that have had trauma and require apexification? Drs. Michael Casas and Suham Alexander provided this quick initial response.  Dr. Michael Casas is Associate Professor in the Faculty of Dentistry at the University of Toronto and Director of Dentistry Clinics at SickKids Hospital.  Traumatic dental injuries account for approximately 5% of the dental treatment sought by patients. They can be challenging for clinicians as proper diagnosis, treatment and follow-up are essential in leading to a favourable outcome. Apexification is the process of inducing apical root closure in a ...

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