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Preventive Dentistry

Are there any trials to inform the treatment of displaced luxated permanent teeth?

This review summary is adapted from The Dental Elf blog post on May 1st 2013: Cochrane Review finds no trials to inform the treatment of displaced luxated permanent teeth Cochrane Authors’ Conclusion “We found no randomised or quasi-randomised trials of interventions to treat displaced luxated permanent front teeth. Current clinical guidelines are based on available information from case series studies and expert opinions. Randomised controlled trials in this area of dental trauma are required to robustly identify the benefits of different treatment strategies.” To read the post and review the review sources, click here   The Cochrane Collaboration Cochrane Reviews ...

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Culture clash? Pediatric dental practice in the age of helicopter parenting

May 3rd, 2013 marks the 100th anniversary of the department of dentistry at the Hospital for Sick Children (SickKids). A full-day educational symposium with notable speakers is planned, including Dr. Ed Barrett, staff pediatric dentist at the hospital.     Dr. John O’Keefe sat down with Dr. Barrett and spoke about dentistry in the age of helicopter parenting. The interview  tackled questions, such as: How is the helicopter parenting concept defined? What are the implications of a culture clash for general practitioners? Is the helicopter parent a guilty parent, when there is dental disease?   Main points The most important relationship you have ...

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What are the current options for treatment of immature permanent teeth that have had trauma leading to pulp necrosis?

This question was submitted by a general dentist: What are the current options for treatment of immature permanent teeth that have had trauma leading to pulp necrosis? Drs. Aimee Castro, Jamie Ong, Anoushe Sekhavat and Rae Varughese Drs. Aimee Castro, Jamie Ong, Anoushe Sekhavat, and Rae Varughese are second-year graduate students in Pediatric Dentistry at the University of Toronto  A necrotic immature incisor can be distressing to both parents and children. Long term concerns for management of these teeth include unfavourable crown-root ratio, parallel root walls that prevent traditional treatment of the root canal space and fragile thin walls that may predispose to vertical root ...

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Is there a really good way to brush the teeth of very young children?

With the reported rise in incidence of early childhood caries in North America in recent times, dental professional organizations are re-doubling efforts to encourage parents to bring children for a dental visit by the first birthday. For many children, caries is a largely preventable disease, and I have always found it really sad to see a mouthful of cavities in the mouths of young children, especially when simple measures can have a profound impact on preventing the disease in young children. A colleague that I respect very much pointed me to a neat resource the other day that demonstrates how to brush the teeth of very ...

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What type of palliative care can I provide for persistent generalized dentin hypersensitivity?

This question was submitted to us by a practising dentist: “I had a patient present today with ongoing generalized sensitivity. No clinical evidence of recession; no bruxism or clenching that she is aware of; and no dietary changes. I would like to make trays to better deliver some palliative relief (she is currently using desensitizing toothpaste). What is the best product for the trays? Would Fluoride or relief gel or some other product that I am unaware of be best?” Dr. Hardy Limeback, former head of preventive dentistry at the University of Toronto provided this initial response: Persistent generalized dentin ...

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