Periodontics

View from the Chairside: Artistic Interpretation and Smile Design

Highlights In the anterior segment, as the number of guiding landmarks to determine restorative tooth anatomy decreases, the need for artistic interpretation to create new landmarks increases. In this presentation, Dr. Paul Belzycki recounts his personal clinical experience in attaining that artistic vision. In his opinion, only so much can be acquired didactically, much of it is a result of trial and error, learned by personally contouring extensive restorations in the provisional phase to ensure the achievement of a mutually agreed upon design with the patient. Once established, that design must be effectively communicated with laboratory to guide that phase ...

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View from the Chairside: Comprehensive Management of Restorative Endeavour of a Patient with a Cleft Lip and Palate

It is always a pleasure to welcome Dr. Paul Belzycki, general dentist from Toronto, who volunteered a number of clinical cases that will be presented on Oasis Discussions. Dr. Belzycki’s experience spans over 38 years of clinical practice in which he treated several complex cases that have required a combination of periodontal, endodontic, and prosthodontic treatments.  Dr. Belzycki shared his thoughts about the art and science of dentistry in a previous post that you can view by following this link. I hope you find the case presentation valuable. Should you wish to ask Dr. Belzycki a question or to share ...

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Squid Ink in Photoacoustic Imaging for Periodontal Probing

Dr. Jesse Jokerst is Assistant Professor in the Department of NanoEngineering at the University of California in San Diego and the co-author of a very recent study that examined the use this food-grade cuttlefish ink as a contrast medium in photoacoustic ultrasound for imaging of probing depths. The study was published in the Journal of Dental Research (September 2017) and is titled: Photoacoustic Imaging for Noninvasive Periodontal Probing Depth Measurements.  He kindly accepted my invitation to speak about his study and shed some light about a promising bourgeoning technique. He also prepared a very informative presentation to further explain the new ...

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The Paradox of Pain in Periodontal Diseases

Dr. Andy Grant accepted my request for an interview although he is not a dentist 🙂 Nevertheless, his interest in studying pain in general coupled with a suggestion made by his colleague, a dentist, brought about two articles related to pain in dentin hypersensitivity and periodontal diseases. He joined from London to tell our viewers more about the findings of the two studies. I hope you find the interview interesting and that you share your feedback with us through oasisdiscussions@cda-adc.ca  Chiraz Guessaier, CDA Oasis Manager Highlights TRPA1 and TRPV4 Activation in Human Odontoblasts Stimulates ATP Release The mechanism of pain in ...

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Perforated Barrier Membrane to Enhance Guided Tissue Regeneration of Periodontal Defects

Dr. Fady Genedy is a member of a US-Egyptian team who developed an enhancement to occlusive collagen membranes in an effort to improve guided tissue regeneration. The team included Professors Vincent Iacono and Ahmed Gamal. Dr. Genedy spoke with me from Cairo, Egypt, about how the project came about and presented a brief clinical case of how the perforated membrane works.  Chiraz Guessaier, CDA Oasis Manager Gamal AY, Aziz M, Salama MH, Iacono VJ. Gingival crevicular fluid bone morphogenetic protein-2 release profile following the use of modified perforated membrane barriers in localized intrabony defects: a randomized clinical trial. J Int Acad Periodontol. 2014 Apr;16(2):55-63. Access the full article Gamal ...

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CE Showcase ASM 2017: Oral and Systemic Health of the Periodontal Patient

I had the pleasure to meet and speak with Patricia Worcester, RDH, CDA and founder and clinical director of Mission Possible…Best Hygiene, as well as international speaker and published author. She spoke about her session at ASM 2017 titled: Oral and Systemic Health of the Periodontal Patient. Chiraz Guessaier, CDA Oasis Manager Highlights The presentation tackles the new etiology of periodontal disease and how the patients’ systemic health is a major influencing factor in their susceptibility to acquire periodontal disease. The presentation shows the relationship factors between numerous systemic health conditions and oral health, and vice versa. Attendees will learn how to be ...

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A Paradigm Shift in Periodontal Disease

Drs. Ian Needleman and Adam Roberts spoke with Dr. Suham Alexander about a new paradigm shift in periodontal disease.  Highlights Periodontal disease is a progressive condition associated with bacteria. There has been little in terms of innovation with respect to periodontal disease. Traditional approaches have focused on eliminating bacteria; however, there may be alternative or adjunct treatments which can influence the ecology of the oral cavity. It is impossible to “sterilize” the oral cavity. This has led to new thinking about the use of probiotics as an adjunct to periodontal disease treatment. Various diseases are linked to dysbiosis in the ...

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What is the Impact of Using Antimicrobials on the Development of Bacterial Resistance in Periodontal Disease?

Drs. Ian Needleman and Adam Roberts spoke with Dr. Suham Alexander about the impact of antimicrobials on bacterial resistance in periodontal disease.  Highlights Antimicrobial resistance is a newsworthy item in healthcare. This is a global dilemma as bacteria are able to proliferate in the presence of antibiotics which are meant to eliminate them. Overuse, misuse and inappropriate use in farming, agriculture and healthcare has led to this phenomenon. Every single use of antibiotics increases the selective pressure wherever they are to develop resistance which can happen in an instant. Resistant phenotypes can occur whether or not an antibiotic has been ...

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