Articles tagged "treatment"
Loss of Sight Caused by Calcium Hydroxide Paste Accidentally Splashed into the Eye during Endodontic Treatment: Case Report
This case report of a dentist who lost vision in one eye after accidentally splashing endodontic calcium hydroxide into it emphasizes the importance of taking particular care with this treatment. Read more
Brain Abscess Secondary to a Dental Infection in an 11-Year-Old Child: Case Report
The case report of a brain abscess in an 11-year-old previously healthy boy that is likely attributable to a primary molar abscess highlights the importance of considering a dental source of infection in the differential diagnosis of the cause of brain abscesses. Read more
Seeking Clarity on Antibiotic Prophylaxis Position Statements
The news item that appeared in the recent issue of JCDA implies that CDA, the American Dental Association (ADA), and the American Academy of Orthopaedic Surgeons (AAOS) are in agreement regarding prophylactic antibiotic regimens for dental patients with total joint replacements. Read more
Periodontal Health Isn’t Yet the Answer to Preterm Birth
The author, an obstetrician/gynecologist, calls for a better periodontal screening tool for pregnant patients to help reduce adverse outcomes of pregnancy. Read more
Resin-Bonded Cantilever and Twist-Flex Wire for Maxillary Incisor Lost due to Trauma
A simple cantilevered pontic is described as a short-term option in cases where only one adjacent tooth can serve as an abutment. Read more
Should Antiplatelet and Anticoagulant Medications Be Discontinued before Minor Oral Surgery Procedures?
For minor oral surgery procedures, there is no need to stop antithrombotic medications if proper local measures are followed. Read more
Clinical Resources on Antibiotic Prophylaxis
JCDA has recently featured several articles and clinical resources related to antibiotic prophylaxis. For your reference, links to the articles and related resources are listed below. Read more
Revascularization of Immature Permanent Incisors after Severe Extrusive Luxation Injury
Revascularization is an emerging endodontic treatment that allows continuation of root development and tissue regeneration in immature necrotic teeth. Read more
Cochrane Review Reveals Benefits of Flossing for Reducing Gingivitis
Flossing remains an effective adjunct to toothbrushing, according to the results of a recent systematic review. Read more
Do Patients with Solid Organ Transplants or Breast Implants Require Antibiotic Prophylaxis before Dental Treatment?
Although opinions on this question differ, current evidence does not support the systematic use of antibiotic prophylaxis for these patients. Read more
Dentists Leaders in Health: Thinking Outside of the Mouth: Audiovisual Presentation
Are dentists placing too much emphasis on restoration rather than prevention? What is the primary role of a dentist—as a health professional or disease facilitator? Read more
Complicated Subgingivally Fractured Central and Lateral Incisors: Case Report
Recent advances in dental adhesives allow reattachment of fragments in subgingivally fractured teeth. However, success will depend on the skill of the clinician and care by the patient. Read more
Esthetic Rehabilitation of Anterior Teeth with Porcelain Laminates and Sectional Veneers
This clinical report describes application of porcelain laminates and sectional veneers by a minimally invasive method, including a step-by-step protocol for cementation of these delicate restorations. Read more
New Dental Implant Program
The University of Manitoba is coordinating a new dental implant program that will provide treatment for edentulous First Nations patients in Western Canada. Read more
Classification of Extensively Damaged Teeth to Evaluate Prognosis
The detailed criteria and guidelines for assessment of severely damaged teeth provided in this article will help dentists avoid errors and develop an appropriate treatment plan. Read more
Implant Therapy and Apical Actinomycosis: Case Report
In this case report, the authors provide guidance on the timing of implant placement at a previously infected site. Read more
Oral Lesion on Dorsum of Tongue
An 8-year-old patient presented with a whitish, nondeformable, asymptomatic lesion on the tongue dorsum. The diagnosis relied on histologic examination and immunohistochemical staining. Read more
University of Toronto Geriatric Dentistry Symposium – Updated August 30, 2011
View brief, narrated versions of presentations that will be featured at the University of Toronto Geriatric Dentistry Symposium on October 15, 2011. Read more
Providing Appropriate Patient Care
I would like to thank Dr. Van Woensel for his article, in which he politely and thoroughly reminds the thousands of fellow CDA members of our obligations to appropriate patient care. Read more
Hypodontia and Microdontia: Clinical Features of a Rare Syndrome
This rare genetic condition must be diagnosed early to prevent serious ocular complications. Read more
Treatment of Severe Inflammatory Root Resorption in a Young Permanent Incisor with Mineral Trioxide Aggregate
The authors describe the successful use of mineral trioxide aggregate to halt inflammatory root resorption in an 11 year old, highlighting the characteristics that make it a good choice in such cases. Read more
Analysis of Clinical Results of Systemic Antimicrobials Combined with Nonsurgical Periodontal Treatment for Generalized Aggressive Periodontitis: A Pilot Study
Treatment of generalized aggressive periodontitis with full-mouth scaling and root planing (FRP) alone or combined with either metronidazole and amoxicillin or doxycycline provided significant clinical benefits that reduced the need for periodontal surgery. Both antibiotic treatments had additional clinical benefits over those of FRP alone. Read more
Chronic Osteomyelitis Following an Uncomplicated Dental Extraction
Osteomyelitis is a relatively rare complication of dental extractions that can mimic multiple benign and malignant processes, making it difficult to recognize in otherwise healthy young patients. This case describes treatment options and ultimate resection of the affected portion of the patient’s mandible. Read more
Patient Resource on Bisphosphonates and ONJ
Dentists can now access a patient resource on bisphosphonates as they relate to oral health. This class of medications has been examined extensively, to assess its possible relationship with osteonecrosis of the jaw (ONJ). Read more
U of T Geriatric Dentistry Symposium in October
The University of Toronto’s faculty of dentistry continuing dental education (CDE) department is sponsoring a 1-day symposium on October 15 that will focus on treatment considerations for the elderly. Read more
Treatment of a Large Maxillary Cyst with Marsupialization, Decompression, Surgical Endodontic Therapy and Enucleation
This case report describes conservative treatment of a large maxillary cyst. The treatment involved marsupialization and decompression, followed by surgical endodontic therapy of the affected teeth and cystectomy. Read more
Cleaning and Shaping Calcified Canals
I wanted to thank Dr. Dabuleanu for authoring the audiovisual presentation on treating calcified canals 1 on the JCDA.ca website. It was very informative and clear. I am a recent graduate who can make use of those great tips! Read more
Identification of an Odontogenic Keratocyst and Treatment with Guided Tissue Regeneration: Case Report
A rare osseous inter-radicular cyst in the mandibular premolar area was identified histologically as an odontogenic keratocyst. Guided tissue regeneration using a bone allograft, after total surgical removal with debridement and decortication, resulted in a successful outcome. Read more
Exploring Scarless Healing of Oral Soft Tissues
Research on healing of wounds in oral mucosa and skin is shedding light on the mechanism of scar formation at the cellular and molecular levels and may lead to therapies to prevent scarring. Read more
Can I use chlorhexidine as the only irrigating solution in my endodontic treatments?
Pulpitis and apical periodontitis are caused by invasion of bacteria deep into dentin or the root canal space. For apical periodontitis, the short- and long-term success of endodontic treatment depends on elimination of microbes from the root canal system and prevention of reinfection via coronal leakage. Read more
Prognosis in Implant Dentistry: A System for Classifying the Degree of Peri-Implant Mucosal Inflammation
Prognostic classification systems provide direct guidance for treatment, but there is limited evidence for classification of peri-implant mucosal inflammation. A simple algorithm is presented to help clinicians to foresee the outcomes of treatment for this group of conditions. Read more
Orofacial Injuries Due to Trauma Following Motor Vehicle Collisions: Part 2. Temporomandibular Disorders
Following an earlier article on dental injuries resulting from collisions, this paper provides a thorough discussion of collision-related temporomandibular disorders, including problems with diagnosis, relation to whiplash, treatment and prognosis. Read more
Orofacial Injuries Due to Trauma Following Motor Vehicle Collisions: Part 1. Traumatic Dental Injuries
This paper describes the various types of dental injuries that may result from motor vehicle collisions. Diagnosis, treatment and the need for follow up are discussed in detail. Read more
Updated Statement on TMDs Generates Negative Response
Editor’s Note: On October 6, 2010, JCDA.ca published a Debate & Opinion article about the revision of the American Association of Dental Research’s science information statement on temporomandibular disorders (TMDs). Our intent in publishing the article was to bring the updated statement to the attention of JCDA readers. Read more
Orthodontic Alignment and Extrusion of a Periodontally Involved Lateral Incisor: Audiovisual Presentation
This audiovisual case report guides dentists through an orthodontic alignment and extrusion of a periodontally involved lateral incisor in preparation for replacement with an implant. Read more
Guiding Unerupted Teeth into Occlusion: Case Report
Orthodontics can be used in managing delayed eruption of a permanent tooth. The tooth can be guided into occlusion during the mixed dentition stage, rather than waiting until the permanent dentition stage. Read more
Accident Highlights Need for Drug Precautions
An experience with one of my patients made me realize that as dentists, we could take extra precautions when prescribing lorazepam (marketed as Ativan). Read more
Apical Actinomycosis: Case Report
Actinomycosis caused a persistent periapical lesion in a 24-year-old woman who had undergone root canal therapy. Clinical and histologic features of the condition are discussed in this case report. Read more
Audiovisual Presentation: How do I perform a first dental visit for an infant or toddler?
Clinicians, dental assistants and front office staff can all play a role in a successful first dental visit for infants and toddlers. Read more
Augmentation of the Maxillary Sinus: Comparison of Bioimplants Containing Bone Morphogenetic Protein and Autogenous Bone in a Rabbit Model
In a rabbit model, bioimplants containing bone morphogenetic protein had more rapid initial production of bone for augmentation of the maxillary sinus than other materials tested, including autogenous bone. Read more
Revision of the American Association of Dental Research’s Science Information Statement about Temporomandibular Disorders
Recent revisions of AADR guidelines emphasize the need for conservative and reversible strategies in treating temporomandibular disorders, as technological and adjunctive diagnostic devices have proved to be ineffective. Read more
Porcelain Laminate Veneer on a Highly Discoloured Tooth: A Case Report
The biomimetic characteristics of porcelain veneers make them useful for managing esthetic problems and minimizing dental tissue reduction. This detailed description illustrates these advantages in the restoration of a single discoloured tooth. Read more
Magnet-Retained Implant-Supported Overdentures: Review and 1-Year Clinical Report
Prosthodontic magnets made from alloys of samarium and neodymium have advantages over older types of magnets. Preliminary evidence is offered for the excellent potential of these newer magnets for retention of mandibular implant-supported overdentures. Read more
Facial Cellulitis Secondary to Dens Invaginatus: A Case Report
The visibly abnormal shape of a tooth or a significant delay in eruption compared with the contralateral tooth should alert the dentist to the possibility of dens invaginatus. In unerupted teeth, the defect may not be noticed until infection occurs. If not diagnosed and treated quickly, cellulitis of the head and neck region can lead to severe systemic complications. Read more
Canadian Study on Sleep Apnea Receives Award
A long-term study on the use of mandibular advancement appliances, led by Dr. Luc Gauthier of the University of Montreal, received a Clinical Research Award from the American Academy of Dental Sleep Medicine (AADSM). Read more
Managing Calcified Canal Systems: Audiovisual Presentation
Calcifications are the result of chronic inflammatory processes such as occlusal trauma, caries and aging. Gaining entry into a calcified canal system can be extremely tricky and even impossible at times. This audio-visual presentation guides you through the various techniques and instruments that can help treat calcified canals. Read more
Judging the Efficacy of Laser Treatment
In her article on soft tissue lasers and nonsurgical periodontal therapy,1 Dr. Matthews concludes “there is no evidence that any laser system adds clinical value over and above SRP [scaling and root planing] and conventional surgical treatment.” Read more
Dental Procedures and Stroke: A Case of Vertebral Artery Dissection
Seemingly trivial trauma caused by prolonged extension of the neck can lead to tearing of an artery. Headache, pain and vomiting following dental procedures should be investigated promptly to ensure rapid treatment of ischemia and prevent further injury. Read more
Sinus Complications with the Use of Temporary Anchorage Devices
I read with interest the article on temporary anchorage devices.1 Unfortunately, the discussion of the potential complications of treatment made no mention of thickening of the sinus membrane or possible sinus infection. Given the type of anchor used, the depth at which it is screwed and the amount of bone on the buccal aspect of the maxillary molars, one could argue that the anchor will pierce the membrane and cause sinus complications. Read more
Volunteerism: An Opportunity to Give Back
Dr. Jack Cottrell of Port Perry, Ontario, shares his insights as a volunteer on medical–dental missions to Central America. He encourages his colleagues to consider volunteering in their community or beyond. Read more
Developmental Disturbance of an Unerupted Permanent Incisor Due to Trauma to Its Predecessor
Intrusive injury to a primary tooth in young children often affects the underlying germ of the permanent tooth. This case study illustrates that careful and regular monitoring following treatment of such injuries can allow early detection and treatment of malformation in the permanent dentition. Read more
Why do some people get dizzy in the examination chair?
Dizziness isn’t the kind of thing that most dentists are worried about; however, they probably see it often in their practices. Read more
Finite Element Analysis of the Human Mandible to Assess the Effect of Removing an Impacted Third Molar
Finite element analysis, a 3-dimensional modelling method, was used to analyze the effects of removing bone around an impacted mandibular third molar and to predict the possibility of iatrogenic fracture. Read more
Yoga Class Sparks Mandibular Block Discovery
I would like to share with JCDA readers what I have found to be a very useful clinical technique—to have a patient relax his or her shoulders (and thus the pharyngeal and facial muscles) to make the inferior alveolar block a more comfortable and effective injection. Read more
Erythema Multiforme: A Painful Condition
I read your article on erythema multiforme1 with interest, as I have suffered from this condition for the last 30 years. I had 2 cold sores in my dentistry graduation picture. Around the time I was married, almost 28 years ago, I went on to erythema multiforme major, maybe even Stevens-Johnson syndrome. I was not able to eat for days or weeks due to the sores in my mouth and elsewhere. Read more
Seeing the Light — The Truth about Soft Tissue Lasers and Nonsurgical Periodontal Therapy
Recent publicity about the benefits of lasers in dentistry has generated considerable interest among dental professionals and the public. This article takes a brief look at the mechanism behind soft tissue lasers and reviews the evidence on the use of soft tissue lasers in the nonsurgical treatment of patients with periodontal diseases. Read more
Examining the Implications of Dental Treatment Costs for Low-Income Families
To afford dental care, low-income families in Nova Scotia are faced with having to forgo other essential needs, such as a nutritious diet. As the authors point out, in the face of these difficult choices about how income is to be spent, it is easy to understand why many Canadians are unable to place a high priority on dental care. Read more
Quantifying Light Energy Delivered to a Class I Restoration
Three-quarters of students who cured a simulated Class I restoration with the instruction typically received by third-year dental students delivered less than 10 J/cm2. After the students received additional instruction about light-curing, the amount of energy delivered increased significantly, with half of the students delivering more than 10 J/cm2. Read more
How are odontogenic infections best managed?
Dental infections, including gingivitis, periodontitis, dental caries and odontogenic infections, result in numerous dental visits each year in Canada. They can range in severity from a mild buccal space infection to a severe life-threatening multi-space infection. All dentists should be comfortable with prompt diagnosis and management of these types of infections. This review of odontogenic infections describes causative organisms, management including appropriate antibiotic selection and the indications for referral to a specialist. Read more
What dose of epinephrine contained in local anesthesia can be safely administered to a patient with underlying cardiac disease during a dental procedure?
Epinephrine is commonly used in health care and has multiple applications. Two frequent and often life-saving uses are the management of anaphylaxis and cardiac arrest. The word has a Greek origin and literally means “on” (epi) the “kidney” (nephros) referring to the anatomic location (the adrenal gland) where the drug is produced. Confusion still exists regarding the dose limits for epinephrine, particularly when the drug is administered to patients with underlying cardiovascular disease. Read more
If my patient has undergone radiation treatment of the jaw, does he/she need hyperbaric oxygen therapy before I extract teeth or perform other minor oral surgery?
Osteoradionecrosis (ORN) is a feared condition recognized by all dental practitioners (Figs. 1 and 2). Some of us have witnessed this disease among our patients, and we learned in dental school how devastating it can be. The biologic effects of high-dose radiation therapy on the jaws have been well described by Marx.1,2 Although there is no threshold radiation dose beyond which ORN becomes a higher risk, it usually occurs among patients who have had radiation therapy, surgery or both for oral cancer, usually squamous cell carcinoma. Read more
Treatment and Care Options for Patients with Facial Differences
Patients with cleft lip and palate are now being treated by multidisciplinary care teams in a clinic setting. These teams work in conjunction with support organizations, such as AboutFace, to address the psychosocial health of patients with facial differences and their families. Read more
Selective Intrusion of Overerupted Upper First Molars Using a Temporary Anchorage Device: Case Report
Temporary orthodontic anchorage devices are a minimally invasive treatment option for maxillary molar intrusion. Read more
