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Pediatric Dentistry

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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Lift the Lip: Uncovering the dangers of early childhood caries

Chiraz Guessaier, CDA Oasis Manager, spoke with Dr. Olva Odlum, senior scholar in the Department of Preventive Dentistry at the University of Manitoba, about the issue of extreme early childhood caries and their link to systemic health.       Listen to the audio interview   Interview Highlights The number of children between the ages of 2 and 5 presenting in hospitals every year with obvious signs of malnutrition is staggering. These are children with extreme early childhood caries. It is important for Canadian dentists to know about this issue because current research shows that broken and abscessed teeth in very ...

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What are the immediate and long-term considerations for the GP dentist providing dental care to children who have undergone cancer therapy or bone marrow transplantation?”

This question was submitted by a general dentist: What are the immediate and long term considerations for the GP dentist providing dental care to children who have undergone cancer therapy or bone marrow transplantation?” Dr. Carol Janik and Caroline Fulop provided this initial response.  The focus of this article is to provide practitioners with guidance on the clinical considerations for pediatric patients who have undergone cancer therapy or bone marrow transplantation. For more information on patients who have been diagnosed and are planned to initiate treatment or those patients currently undergoing therapy please consider referral to a hospital pediatric dentist and ...

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“Failure to Erupt Syndrome”: Myth or Reality?

This question was submitted by a general dentist: Three siblings have been diagnosed with “failure to erupt syndrome.” The oldest had removal surgery and implants. How rare is this syndrome and how common for all three to have it?  Dr. Ian McConnachie, pediatric dentist at Woodroffe Pediatric Dentistry, provided the following initial and quick response. I am unaware of any condition called “Failure to Erupt Syndrome.” There is a small list of conditions where one finds a failure of at least several teeth to erupt. The one we all remember from our dental student days is cleidocranial dysplasia and the slide of ...

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How are bisphosphonates used in children? Review of the literature and guidelines for dental management

This summary is based on the article published in the Australian Dental Journal: The use of bisphosphonates in children: review of the literature and guidelines for dental management (March 2014)

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Audio File: What is the emergency treatment of an avulsed tooth?

This question was submitted by a general dentist: What is the emergency treatment of an avulsed tooth?   Dr. Suham Alexander interviewed Drs. Rodrigo Sanches Cunha, DDS MSc PhD FRCD(C) and Scott Leckie DMD about the treatment of the emergency scenario of avulsed tooth. 

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