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Preventive Dentistry

What is the best approach to prevent secondary caries from spreading under composite restorations?

This question was submitted by a general dentist: What is the best approach to prevent secondary caries from spreading under composite restorations? Dr. Jacinta Santos, Assistant Professor of Restorative Dentistry, Schulich School of Dentistry at Western University, has provided this quick initial response. Drafted by Alexandra Rabalski, JCDA Oasis Intern Resin-modified glass-ionomer (RMGI) can be used as a liner or as a restorative material. RMGI releases fluoride, thus protecting the tooth against possible secondary caries. In addition, polymerization shrinkage is much lower for RMGI than for resin composite, generating less stress on the walls of the tooth. I always teach my students ...

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The Manitoba Dental Association’s “We Be Brushin” public service announcement video wins an international advertising award

Winnipeg’s Traffic Advertising company has been honoured with both a Visionary Award and a Leader Award in the 2013 Summit Emerging Media Award (EMA) competition in the Health/Fitness category for its 60 second Public Service Announcement and two minute Music Video “We Be Brushin”, created for its client, the Manitoba Dental Association. Created and produced by Traffic Advertising and Nüman Films last year, the hip-hop video and public service television commercial was shot on location in Winnipeg. The video features more than 30 children ranging in age from 5–15, dancers from Magic N Motion, as well as several Manitoba dentists and sports celebrities. ...

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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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What are the new paradigms in diet and the microbial aetiology of dental caries?

This summary is based on the article published in the International Dental Journal: Diet and the microbial aetiology of dental caries: new paradigms (December 2013) David J. Bradshaw and Richard J. M. Lynch Courtesy of Wiley Publishing: You can access the full-text article for the next 3 months.  Access Wiley Dental Publications Context The microbial and dietary factors that drive caries have been studied scientifically for 120 years. Frequent and/or excessive sugar (especially sucrose) consumption has been ascribed a central role in caries causation, while Streptococcus mutans appeared to play the key role in metabolising sucrose to produce lactic acid, which can demineralise enamel.  Many authors ...

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Orofacial syndromes: a better understanding of the etiopathogenesis, diagnosis and management

This summary is based on the article published by the International Journal of Oral and Maxillofacial Pathology: Orofacial Syndromes: An Approach Towards Etiopathogenesis, Diagnosis and Management. A Systematic Review (January 2013) Context Currently, there are more than 4,000 genetic disorders identified to date, of which orofacial syndromes form a considerable part. Genetic factors either in isolation or in combination with various environmental factors play an important role in causing these craniofacial anomalies.  It becomes a challenge for the dental practitioner to diagnose and manage orofacial syndromes due to the complexity of their multi-system involvement.  Purpose of the Review The paper ...

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What is molar-incisor hypomineralization?

This summary is based on the article published in the International Journal of Oral and Maxillofacial Patholory: Molar-Incisor Hypomineralization: review of its prevalence, Etiology, Clinical Appearance and Management (January 2013) Context Molar-incisor hypomineralization (MIH) is defined as hypomineralization of systemic origin of one to four permanent first molars frequently associated with affected incisors. Affected molars present major clinical problems in terms of extensive tooth structure loss, hypersensitivity and difficulty in restoration and retention.  The prevalence of (MIH) ranges from 2.5 to 40% and seems to differ in certain regions and birth cohorts. Several factors are associated with the etiology of MIH. ...

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How efficient are Toluidine Blue and Brush Biopsy in diagnosing oral lesions?

This summary is based on the article published in the International Journal of Oral and Maxillofacial Pathology: Efficacy of Toluidine Blue and Brush Biopsy in Oral Lesions (January 2013) Context Oral cancer is a global health problem and its early detection is of prime importance. In vivo stains and brush biopsy have emerged in recent years to aid as clinical diagnostic tools.  Purpose of the Study The study assessed the efficacy and accuracy of Toluidine blue and brush biopsy in comparison to wedge biopsy in patients with oral pre-malignancies and malignant lesions.  Key Messages The combined evaluation of Toluidine blue ...

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What are the effects of oral health education and motivation on disease prevention and health promotion?

This summary is based on the article published by the Dental Press Journal of Orthodontics: Education and motivation in oral health — preventing disease and promoting health in patients undergoing orthodontic treatment (May-June 2011) Context It is incumbent upon dentists to prevent disease, minimize risks and promote health. Patients also need to be made aware of their role in oral health care. Patients undergoing orthodontic treatment find it particularly difficult to maintain satisfactory oral hygiene owing to the presence of bands, wires and ligatures. It is therefore crucial to establish preventive motivation and guidance methods to ensure mechanical control of dental plaque. In order to promote and maintain satisfactory oral ...

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