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Pediatric Dentistry

Intrusive luxation of permanent teeth: what are the important factors for treatment decision-making? A systematic review

This summary is based on the article published in Dental Traumatology: Intrusive luxation of permanent teeth: a systematic review of factors important for treatment decision‐making (June 2014)

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Pre-eruptive caries by Dr. Ian McConnachie

Dr. Suham Alexander, Oasis Clinical Editor, interviewed Dr. Ian McConnachie, pediatric dentist at Woodroffe Pediatric Dentistry Dr. Ian McConnachie is a pediatric dentist practicing in Ottawa as well as on staff at Children’s Hospital of Eastern Ontario. He is currently the consulting editor for the YourOralHealth.ca magazine of the Ontario Dental Association and member of the Editorial Board for Ontario Dentist. Dr. McConnachie is a member of the Expert Panel of Reviewers and Advisors of the Journal of the Canadian Dental Association. In the summer of 2008, Dr. McConnachie participated as a speaker at a symposium on Designing Dental Programs for ...

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What can you do to prevent early childhood caries?

Dr. John O’Keefe, Director of Knowledge Networks at the Canadian Dental Association, interviewed Dr. Ross Anderson about the prevalence of early childhood caries, also known as “the silent epidemic” and what dentists can do to help. 

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WHO opens public consultation on draft sugars guideline

The World Health Organization (WHO) is launching a public consultation on its draft guideline on sugars intake. When finalized, the guideline will provide countries with recommendations on limiting the consumption of sugars to reduce public health problems like obesity and dental caries (commonly referred to as tooth decay). Read the draft guideline 

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Quick Fact: What are pre-eruptive caries?

This is a quick fact presented by Dr. Suham Alexander, Oasis Clinical Editor Pre-eruptive caries (also referred to as occult or hidden caries) has an unclear etiology as well as pathogenesis. As the tooth is usually encased in its crypt, it is unlikely that it is exposed to any cariogenic bacteria. Some theories hypothesize that the cariogenic process is initiated by internal resorptive processes that are precipitated by pressure exerted by abutting teeth or ectopic positioning of the tooth itself. The carious lesions are most often located at the DEJ in the occlusal surface of the tooth.

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How would you manage sleep bruxism in special needs patients?

This summary is based on the article published in Research in Developmental Disabilities: Treatment of bruxism in individuals with developmental disabilities: a systematic review (September 2009) Russell Lang, Pamela J. White, Wendy Machalicek, Mandy Rispoli, Soyeon Kang, Jeannie Aquilar, Mark O’Reilly, Jeff Sigafoos, Giulio Lancioni, Robert Didden Context  Individuals with developmental disabilities experience more oral and craniofacial diseases and injuries than the general population. (1)  Bruxism is a serious psycho-physiological disorder and a common clinical issue in dentistry. (2)  Although data are limited, bruxism appears to be more common in individuals with developmental disabilities, specifically, profound/severe mental retardation, autism spectrum disorders, and Down’s syndrome than other ...

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Your Opinion: How would you treat this case?

This case was submitted by Dr. Matt Gilchrist An 11 year-old presented to my office in December 2013 for a routine recall examination. The right bitewing revealed what appeared to be gross decay on the 1-4 occlusal. Upon further review of the bitewing from last year, it was noted that this exact same lesion had been present since the tooth first erupted into the child’s mouth (sorry, no picture, as we were not digital at that time). The tooth has been symptomatic, and a PA was taken which was within normal limits. Clinically there was no evidence of gross decay, ...

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How do you manage double teeth in children and teenagers?

This summary is based on the article published in the International Journal of Pediatric Dentistry: management of double teeth in children and adolescents (November 2012) Purvi Shah, June M. L. Chander, Joseph Noar & Paul F. Ashley Context Abnormally large teeth are often referred to as ‘double teeth’.  Double tooth anomalies pose numerous management challenges for the clinician especially if they involve anterior teeth. Most significantly, they will result in very poor aesthetics, partly because of their appearance but also because they will cause significant anterior crowding. They may also be associated with caries and periodontal problems, if the fissure or union line extends sub-gingivally making cleaning difficult5. Double teeth can ...

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