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Supporting Your Practice

What material is the best choice for a short span fixed partial denture?

From Dr. Berge Wazirian, Prosthodontist, Clinique de Prosthodontie & McGill University With the advancement of dental technology, dentists today are confronted with many different options when it comes to choosing a material for fixed partial dentures (FPDs). The wide array of materials range from multilayered systems to monolithic systems. Monolithic methods include: 1. Full contour metal restorations 2. Full contour zirconia restorations 3. Full contour lithium disilicate restorations (i.e. E.max) 4. Full contour Lucite reinforced restorations (i.e. Empress) Multilayered methods include: 1. Ceramo-metal restorations 2. Ceramo-zirconia restorations 3. Layered lithium disilicate restorations (i.e. E.max) 4. Alumina based restorations (i.e. In ...

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What causes endo failures?

From Ian Furst, Coronation Dental Specialty Group When confronted with a failing endo the big question is, “how is the bacteria getting in?”. Was residual bacteria left during the original endo, is there a vertical root fracture or is there coronal leakage? Dr. Jason Hales, at The Endo Blog, reviews a case of a separated instrument where cleaning and shaping was still completed. Jason’s been posting this blog for years, and it’s a must read for endo.

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A case of failing implants and crowns; how would you manage the aesthetic challenge? Un cas de défaut implants et des couronnes; comment voulez-vous gérer le défi esthétique?

Crowns on teeth #1.1 and 2.1 are overcontoured and failing.  The mini-implants in the 1.2 and 2.2 areas have failed.  How will you manage the aesthetic challenge?  See the question video below (bilingual videos this week) followed by a review of the case by Dr. Wazirian in the next video.  Please leave us your comments about what you would do. Couronnes sur dents # 1.1 et 2.1 sont surcontour et défaillants. Les mini-implants dans les zones 1,2 et 2,2 ont échoué. Comment allez-vous gérer le défi esthétique? Voir la vidéo question ci-dessous (vidéos bilingues cette semaine) suivie d’un examen du ...

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Should Aspirin therapy be stopped for Routine dental procedures?

From Dr. Cesare Ciavarro, Coronation Dental Specialty Group Dental patients often present while being treated with different forms of anticoagulation therapy, among which Aspirin remains one of the most commonly encountered drugs. Aspirin, or Acetylsalicylic Acid (ASA), works as a cyclo-oxygenase inhibitor, thereby blocking prostaglandin and thromboxane production and ultimately preventing  platelets from aggregating (1, 2).     Besides its anti-inflammatory and analgesic features, this drug can also be used alone or in combination with other anticoagulants to prevent unwanted thrombi, thereby diminishing Cerebrovascular and/or Cardiovascular embolic events.  (3, 4) Nonetheless, there are still many questions regarding the potential bleeding hazards associated with ...

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Have you seen this article at medGadet.com?

Debating Imaging Radiation Exposure: Study Illustrates Importance of Considering Short-Term vs. Long-Term Risk.  

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Can you visualize the medical data explosion?

With the explosion of cone beam CT the amount of data being generated is staggering. Anders Ynnerman gives a TED talk about how data is being stored and re-processed to help us better understand the human body. He covers the size of the data explosion, virtual autopsy, functional MRI and more. A very interesting lecture.

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Clinical Case: Why is tooth #2.3 rotated & malformed?

From Dr. Milan Madhavji of Canaray Oral Radiology and Dr. Ian Furst of Coronation Dental Specialty Group A 23 year old female presents for orthodontic consultation regarding tooth #2.3 which is rotated and has a crown that appears mildly deformed.  See the 1st video below for a panorex and CT with 3D reformatting. The 2nd video has the answer and/or you can download the PDF radiology report. This link contains the final radiology report QUESTION VIDEO ANSWER VIDEO

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Did you know: How much sugar the average Canadian consumes?

From Dr. Hans Skariah Did you know how much sugar the average Canadian consumes? The average Canadian consumed 26 teaspoons of sugar a day in 2004. (Wow!) Source: Statistics Canada, http://www.statcan.gc.ca/pub/82-003-x/2011003/article/11540-eng.htm (read on Nov 25/2012)

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