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Restorative Dentistry

When Should You Refer a Case for Endodontic Treatment?

Drs. Gevik Malkhassian and Craig Bellamy, Endodontists in Toronto, spoke with Dr. John O’Keefe about when general dentists should refer patients for endodontic treatment.  Highlights While mid-treatment challenges can occur in a seemingly “straight forward” endodontic treatment, a careful pre-assessment of the tooth and one’s own skill and expertise can minimize and/or prevent some of these challenges before treatment is started. In some instances, it may be determined that an endodontic referral is in the best interest of the patient and the practitioner. Some of the questions to consider include: Do I feel comfortable completing this treatment? Have I successfully treated ...

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How to Avoid Common Endodontic Pitfalls in General Practice

Dr. Viraj Vora speaks to Dr. John O’Keefe about how to avoid pitfall in endodontics. This is important to keep patient satisfaction high and practitioner stress levels low. Key messages Good diagnosis of the patient’s problem and treatment planning is essential Proper case selection is also important for success Send appropriate cases to an endodontic specialist Avoid cases that will be unsuccessful that may lead to patient retention or litigation issues in the future Know your own level of expertise and your limitations – be honest with yourself Remember that patients gather information from various sources (friends, colleagues and internet searches) ...

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Impact of Proton Pump Inhibitors on Implant Osseointegration

Dr. Faleh Tamimi, Assistant Professor in the Faculty of Dentistry at McGill University, spoke with Dr. Chiraz Guessaier about the research he conducted and the articles he co-authored on the impact of proton pump inhibitors on implant osseointegration. Highlights Systemic administration of omeprazole interferes with bone healing and implant osseointegration: an in vivo study on rat tibiae Proton pump inhibitors, over-the-counter drugs taken by millions of patients, diminish bone accrual. Accordingly, we hypothesized that these drugs could impair bone healing and implant osseointegration. This study investigated the effect of post-operative systemic administration of omeprazole on bone healing and implant osseointegration ...

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Impact of Antihypertensive Drugs on Implant Osseointegration

Dr. Faleh Tamimi, Assistant Professor in the Faculty of Dentistry at McGill University, spoke with Dr. Chiraz Guessaier about the research he conducted and the articles he co-authored on the impact of proton pump inhibitors on implant osseointegration. Highlights Propranolol enhances bone healing and implant osseointegration in rats’ tibiae Propranolol, a non-selective b-blocker widely used to treat cardiovascular conditions, favours bone accrual. Accordingly, we hypothesized that propranolol could be useful for improving bone healing and osseointegration. This in vivo study was designed to investigate the effect of propranolol on bone healing and osseointegration in rats’ tibiae. On 24 Sprague–Dawley rats, a unicortical defect was ...

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What Factors Should You Consider When Restoring Primary Teeth?

Dr. Reza Nouri, Certified Specialist in Pediatric Dentistry in the greater Vancouver area, gives the audience information on restoring primary molars. Highlights Understanding the anatomical differences between permanent and primary molars makes a difference in understanding how to restore the teeth including the type of preparation required as well as the behaviour of the restorative material that will be used to treat the teeth. Dr. Nouri also discusses the indications for unilateral and bilateral space maintainers as well as different types available for use.    

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Peri-Implant Diseases with Dr. Mehdi Noroozi

Dr. Mehdi Noroozi comes back to speak to us about peri-implant diseases through the presentation of few cases. Highlights In this presentation, Dr. Noroozi talks about peri-implant disease which is often a result of improper diagnosis and treatment planning. It is important to educate our patients about the risk of peri-implant diseases. Currently, there are a significant number of implants that have inflammation or infection in practice. However, not all bone loss around implants is attributable to peri-implantitis. Bone loss could result from biologic width establishment, bone remodelling and early implant failure. Peri-implantitis is an inflammatory reaction around the tissues of ...

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Digital versus conventional impressions for fixed prosthodontics: A systematic review and meta-analysis

This summary is based on the article published in The Journal of Prosthetic Dentistry: Digital versus conventional impressions for fixed prosthodontics: A systematic review and meta-analysis (August 2016) Context  In the fabrication of fixed multi- or single unit dental restorations, the accuracy of marginal and internal fit are integral to the long-term success of the crowns. Discrepancies in the internal fit can adversely affect the seating of the crown as well as the marginal fit. Typically, an impression captures the restorations’ margins and their internal aspects. Nowadays, impressions can be made using conventional impression materials such as polyether or polyvinyl siloxane or ...

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The Future of Restorative Dentistry

Dr. Harald Heymann joined Dr. John O’Keefe on this conversation about the future of restorative dentistry. Read the highlights and enjoy the audio conversation! Highlights In this video, Dr. John O’Keefe speaks to Dr. Harald Heymann about the way restorative dentistry may be practiced in the future. While there are advances and improvements in the field of restorative dentistry with respect to adhesives, cements and restorative materials, there is little expectation that there will be any profound changes in this area. Thus far, digital technology has had the biggest impact on dentistry to date from radiography, smile design, implants, digital ...

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