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Pediatric Dentistry

Case Conference: How would you deal with a fearful child?

One of CDA Oasis priority topics for 2015 is communication and its role in the success of the dental practice. We are pleased to present a series of made-up scenarios related to various aspects of communication in the dental office. In the first phase of this case conference, we request that you provide your comments and feedback as to how you would handle such situation.  In the second phase of this case conference, Drs. Christine Chambers and Ross Anderson will respond to your comments and feedback and will present important information on how to deal with anxious children in the dental office.    ...

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Embracing the infant first visit – one GP dentist’s experience

By Dr. John O’Keefe When I sat in the waiting room at the office of Dr. Janet Leith of Ottawa for my recall visit recently, the first thing I noticed was the prominently featured CDA poster informing patients that her dental office encourages parents to bring their children for a first dental visit by age one. At the end of my visit, I sat and asked Janet  about when she had incorporated this approach into her practice, what trepidation she had prior to adopting it, how she used it as a practice building strategy and what sort of benefits she ...

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What should be included in an infant dental health program?

This information was adapted from Dental Secrtes, Elsevier, 2015. Download the Animated PowerPoint Presentation Download the PowerPoint Presentation (PDF)   Watch the video presentation Infant Dental Health Program from Canadian Dental Association on Vimeo.  

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What are non-nutritional sucking habits and what are the best interventions?

Non-nutritional sucking habits are learned patterns of muscular contraction. The most common types are: Finger habit Lip wetting or sucking Abnormal swallowing or tongue thrusting Abnormal muscular habits Sucking is the best-developed sensation avenue for an infant. Deprivation may cause an infant to suck on the thumb or finger for additional gratification. If a child stops non-nutritional sucking habits within his or her first 3 years of life, the damage usually is limited to the maxillary anterior segment and presents as an open bite. If the habit continues past 3 years, the damage may be long-lasting and detrimental to the developing dentoalveolar structures. After 4 ...

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Are there side effects of intravenous midazolam sedation when used in paediatric dentistry? A review

This summary is based on the article published in International Journal of Pediatric Dentistry: Reported side effects of intravenous midazolam sedation when used in pediatric dentistry: a review (May 2015) Arathi Papineni Mcintosh, Paul Francis Ashley and Liege Lourenco-Matharu   Context Intravenous (IV) midazolam may be of value as an alternative pediatric dental sedation technique, but there is some apprehension concerning its routine use due to a lack of evidence regarding its safety and side effects. Purpose of the Review To review all available literature reporting the side effects of IV midazolam in children undergoing dental procedures. Key Findings There ...

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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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