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Supporting Your Practice

Recurrent Herpes Simplex: What Are the Possible Interventions?

This short consult is presented by Dr. Eric Stoopler, DMD; Dr. Arthur Kuperstein, DDS; and Dr. Thomas Sollecito, DMD Peer-reviewed content that appeared in the JCDA OASIS “point of care” searchable database at www.jcdaoasis.ca and in the sixth edition of the print JCDA. Primary and recurrent infection with herpes simplex virus (HSV-1 and HSV-2) can cause oral and/or genital lesions, although the majority of oral infections are caused by HSV-1. Symptomatic vesicles/ulcers of the oral mucosal tissues generally follow the onset of systemic symptoms and are often accompanied by significant erythema of the gingival tissues (i.e., “primary herpetic gingivostomatitis”). Treatment of primary HSV infections ...

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How can I promote esthetic papilla formation between adjacent implant-supported restorations on upper anterior teeth?

The following verbatim question was submitted by a practising dentist: My patient had implants to replace 11 and 21. I have placed contoured healing abutments and temporary crowns with the contact 4-5 mm above the bone (2 mm gingiva and 2 mm space). These have been in place 4 months and although the papilla has filled in between the laterals, the tissues are still flat between the 11 and 21 despite the fact that a periodontist placed the implants doing a graft to “bulk up”   the tissue. The patient is not overly concerned; however, you can see the area when he smiles, so ...

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Case Follow-up: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here. Case Follow-Up Four implants were placed in the anterior mandible. Following implant surgery, the patient experienced persistent pain in the implant area and two of the implants failed in the immediate post-operative period. Over the course of the following year, the pain progressively worsened in the anterior mandible and the patient was subsequently ...

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What are the hottest topics in endodontics today?

Dear colleagues, I have just received an email alert from the Journal of Endodontics with a list of the top 15 articles that were downloaded from the online version of that prestigious publication in 2012. Below, you will find links to the Medline abstracts of these 15 articles. In the top right hand corner of each abstract there is a link to the website of the publisher, where you can purchase the full text of any of these articles. I hope you find this information useful to your practice. John Ferrule Effect: A Literature Review Juloski, J.; Radovic, I.; Goracci, C.; Vulicevic, ...

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How to identify the number of accessory canals while doing RCT?

(Content under development) The following question was submitted by a practising dentist: How to identify the number of accessory canals while doing RCT? Dr. Mary Dabuleanu from Dabuleanu Dental provided these initial comments for consideration:  One never quite knows exactly how many accessory canals are present when you embark in a case. The pre-operative X-Ray may show an area of widened periodontal ligament space along the side of a root, which proves to be a lateral canal on the final X-Ray. If the root anatomy is tortuous, one can suspect some accessory canals around the sharp bend of the root. Also, bulbous ...

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To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon,  Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. Check the case follow-up: Click Here A 72-year old female patient of African-American descent presented to an Oral and Maxillofacial Radiology clinic for pre-operative dental implant imaging.  Cone beam CT examination yielded the following images: Axial cone beam CT cross-sectional image at the level of the mandibular alveolar process Rendered panoramic reconstruction from cone beam CT data set Bucco-lingual cone ...

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oasisImage of the Week: Persistent ‘mucocele’ in a 16 year old boy

A 16 year old boy had a swelling in his right lower lip removed at age 4 while living overseas. At that time the surgeon told the father that it was multiple small mucoceles and that he could not get all of it. The specimen was sent to a general pathologist who confirmed it as a mucocele. Between the ages of 13 and 15, the lesion returned, larger and more sore. It was excised again at age 15 and at that time it was diagnosed as a verruca vulgaris with submucosal capillary ectasia and edema with stromal inflammation. They now ...

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Clinical Case: How do I quantify the risk of nerve injury with wisdom teeth extraction? (VIDEO SOLUTION)

This case is presented by Drs Stephen Cho & Ian Furst at Coronation Dental Specialty Group & Cambridge Memorial Hospital A 56 year old male has a partially impacted wisdom tooth #3.8, communication to the mouth, pericoronitis and a complaint of persistent pain associated with the tooth. You take a panorex and note the overlap of the inferior alveolar nerve. Based on current scientific data, what is the risk, during an extraction, of an intimate association between the tooth and nerve? Is there a scientifically valid way of determining which developing wisdom teeth are likely to become partially impacted? The ...

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