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Restorative Dentistry

Is octenidine hydrochloride available and/or recommended as an oral rinse agent?

This question was submtted by general dentist: Since Octenidine Hydrochloride seems better than Chlorhexidine, is it available and/or recommended as an oral rinse agent?  Under what name can it be purchased? Drs. Archie McNicol and Suham Alexander provided this quick initial response.   Antiseptic mouth rinses are used clinically to improve dental health and/or to prevent infections arising from oral pathogens. Antimicrobial mouth rinses target predominantly Streptococcus mutans.  Octenidine hydrochloride (Octenisept) belongs to a class of chemicals called bispyridinamines and was initially developed for use as a topical antimicrobial agent. It is capable of forming complexes and adhering to whole cells ...

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Is there a benefit for the routine use of an antibacterial mouth rinse prior to dental appointments?

This question was submitted by a general dentist: Is there any evidence of benefit for the routine use of an antibacterial mouth rinse (ie. chlorhexidine gluconate 0.12%) prior to dental appointments?  Would there be any contraindications to this practice? Drs. Gordon Schwartz from Gumdocs and Suham Alexander provided this quick initial response.      The intended aim of having patients use a pre-procedural antibacterial mouth rinse is to reduce or limit the exposure of patients and dental staff to microorganisms that are found in aerosols in the dental office as well as to decrease contamination of equipment and operatory surfaces ...

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What are the possible ways of reducing dental erosive potential of acidic beverages

This summary is based on the article published in the Australian Dental Journal: Possible ways of reducing dental erosive potential of acidic beverages (September 2014) T Stefański, L Postek-Stefańska Context Frequent consumption of acidic beverages is related to excessive tooth wear, namely dental erosion. Preventive measures may involve reduction or elimination of acidic drink consumption. However, the success of this approach is difficult to achieve as it is highly dependent on patient compliance. Therefore, a practical way of minimizing the erosive potential of popular acidic drinks may be their chemical modification. Purpose of the Review The aim of this article ...

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Are there any detrimental effects of tooth-whitening agents on enamel?

This question was submitted by a general dentist: Are there any detrimental effects of tooth-whitening agents on enamel? Some have shown increased microfracture in the enamel seen only under SEM; however, is it clinically relevant? Dr. Laura Tam, from the Faculty of Dentistry at the University of Toronto, and Dr. Suham Alexander provided this quick initial response     Tooth whitening has become an increasingly popular esthetic service for patients and is well-integrated in dental practices. At-home whitening with carbamide peroxide and hydrogen peroxide (H2O2) was originally part of a complete dental procedure which included the dentist examining the patient ...

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What is gutta percha and how did it come to be used in dentistry? An interview with Dr. Mary Dabuleanu

Dr. Suham Alexander, Oasis Clinical Editor, interviewed Dr. Mary Dabuleanu, Endodontist at Dabuleanu Dental about the history of gutta percha and its use in dentistry.                 Listen to the Audio Interview (11 mins)   References Jeon KA, Lee IB, Bae KS, Lee WC, Baek SH. Measurement of thermal expansion characteristic of root canal filling materials : Gutta-percha and Resilon. J Kor Acad Cons Dent. 2006;31(5):344-351. doi: 10.5395/JKACD.2006.31.5.344.   Khatavkar RA, Hedge V. The weak link in endodontics: Gutta-percha – A need for change. World J Dent. 2010;1(3)217-24. Shipper G, Ørstavik D, Teixeira FB, Trope M. An ...

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Who should do the post-endodontic restoration – the restorative dentist or the endodontist?

This question was submitted by a general dentist: Who should do the post-endodontic restoration – the restorative dentist or the endodontist? Drs. Stephen Ferrier, Manny Friedman, and Suham Alexander prepared the following response The most important aspect of the post-endodontic restoration is establishing a sound coronal seal to prevent re-infection of the root canal system and to protect the weakened tooth from mechanical failure. Ideally, this should be completed when the endodontic obturation is done. Whether or not this is the ‘final’ or ‘ultimate’ restoration depends upon the tooth. The coronal seal may take the form of a: Core (including postless ...

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How would you treat this case?

The following case was presented by a general dentist: 27 year-old Indian male. Patient had ortho treatment done 2 years ago with another dentist. Just after 2 days of debonding of brackets, patient had a fall with sustained tooth injuries to his upper front teeth 11,21,22 causing them to extrude in a retrolined inclination. Patient was treated by an oral surgeon at a private hospital and the patient’s pictures after 2 year plus are shown. Patient claims there were no follow ups after admission in the hospital.                       Patient’s concerns: ...

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Does diabetes affect implant failure rates?

This summary is based on the article published in the Journal of Dental Research: Diabetes and oral implant failure: a systematic review (September 2014) B.R. Chrcanovic, T. Albrektsson, and A. Wennerberg Context Dental implant survival is initially dependent on successful osseointegration following placement. As an implant is restored and placed into function, bone remodeling becomes a critical aspect of implant survival in responding to the functional demands placed on the implant restoration and supporting bone. The critical dependence on bone metabolism for implant survival may be heightened in patients with diabetes (1). Diabetic patients have increased frequency of periodontitis and ...

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