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Supporting Your Practice

What is the clinical and cost effectiveness of using dental crowns for vital and endodontically treated teeth?

This summary is based on the Rapid Response Report developed by the Canadian Agency for Drugs and Technologies in Health: The use of dental crowns for vital and endodontically treated teeth: a review of the clinical and cost effectiveness and guidelines.  Full report (PDF) CONTEXT The choice of dental restoration depends on the amount of remaining tooth, which may influence long term survival and cost. For endodontically treated teeth, it is believed that coronal coverage can improve the clinical success of the restored teeth. An endodontic post is a partial prosthesis that is fixed inside the root canal. They are used to ...

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How safe are benzodiazepines?

This summary is based on the Rapid Response Report developed by the Canadian Agency for Drugs and Technologies in Health: High dose and watchful dosing of benzodiazepines: a review of the safety and guidelines Full Report (PDF)   Key Findings No “watchful dose” for benzodiazepines was identified. Benzodiazepines may be used in higher than 10 mg diazepam-equivalent doses in some circumstances, but data were limited. Context   Benzodiazepines are compounds that enhance the activity of gamma-aminobutyric acid (GABA)-A receptors by increasing the affinity of the receptors for GABA. Therefore, benzodiazepines are prescribed as anxiolytic medications. In Canada, the labeled indications include, the treatment of anxiety disorders, panic disorder, ...

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How do you manage the patient with a dry socket (Alveolar Osteitis)?

This Urgent Care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Daisy Chemaly. The USC is also available through Oasis Help Complication of wound healing following the extraction of a tooth. The patient experiences severe throbbing pain caused by bone exposure at the site of extraction. Following the extraction, a blood clot forms at the socket to protect the bone. When the clot dislodges or dissolves prematurely, the nerves and bone become exposed, leading to pain.    Do you need further information related to this subject? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca ...

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What is the preferred technique for creating a post & core, using the Rely-X Fiber Post system?

In this short video (6.38), Dr. Richard Price, Professor and Head of Fixed Prosthodontics in the Department of Dental Clinical Sciences at Dalhousie University’s Faculty of Dentistry, demonstrates a technique for cementing a Rely-X post and building up a core foundation prior to the restoration of an endodontically treated tooth From the radiograph or from the endodontic treatment notes, estimate the desired length of the post after leaving 5 mm of Gutta Percha at the apex. Prepare canal to the correct post length. Save as much of the root and tooth structure as you can.   Choose a size of post that ...

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Case Conference Follow up: Exploring treatment alternatives for the unsatisfactory removable partial denture

Phase 2 of the Case Conference presented in collaboration with Dr. Bill Abbott from the International Team for Implantology (ITI)    A great number of dentists responded to questions related to the treatment challenge presented in this case. As we have committed to you, we are providing you with a summary of the responses received.   Responses to Question 1 Responses to Question 2 Responses to Question 3  View the Case video   Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca Your are invited to comment on this post and provide further insights by posting in the comment box ...

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What is the preferred technique for taking an impression for a cast post & core?

In this short video (2:36), Dr. Bob Loney, Professor and Chair of the Dental Clinical Sciences Department at the Faculty of Dentistry, Dalhousie University, demonstrates a technique that provides a bubble-free impression that won’t distort. Paint the impression tray with adhesive. Pack and remove retraction cord. Inject light-body polyvinyl siloxane impression material all around the completed crown preparation. ensuring to capture the crown margins. Squeeze some light-body material on to a pad and coat it over the length of a lentulo spiral filler on a contra-angle slow speed handpiece. Place the coated lentulo spiral filler down the canal where its ...

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Light Curing: So Easy, So Dangerous!

In these videos, Dr. Richard Price, Professor and Head of Fixed Prosthodontics in the Department of Dental Clinical Sciences at Dalhousie University’s Faculty of Dentistry, shares excellent clinical information related to light curing. The video has been divided into short theme section as follows:  Light curing so easy, so dangerous! Complete video (27 minutes) The perfect storm The success of 122+ million restorations and 16+ million sealants placed annually depends on the curing lights and how it is used. Do we have any evidence that resin restorations are not lasting as long as they could and should?  Various curing modes and irradience We ...

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How can I safely and efficiently remove gutta percha to prepare a post space? Video Demonstration

In this short video (1:56), Dr. Bob Loney, Professor and Chair of the Dental Clinical Sciences Department at the Faculty of Dentistry, Dalhousie University, demonstrates how to remove gutta percha from a root canal in order to prepare an adequate post space to support a restoration on an endodontically treated tooth.     Use non-end cutting drills to prepare the post space. Always start with the smallest size of Gates Glidden drill or Peeso reamer and work up to the size required to accommodate the desired size of a post. Size the instrument, referring to a radiograph of the tooth ...

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