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Proactive Intervention Dentistry
Medical Treatment of Dental Caries With a New 25% Xylitol Formulation
by Jacques Véronneau, DMD, MSc, PhDBackground Even with the declining prevalence of dental caries in industrialized countries during the past decades, predominately due to fluoride use, 1 dental caries is still a major problem in most industrialized countries, affecting 60% to 90% of children, and…
Glass Ionomer Fissure Sealants for Proactive Intervention
by Fay Goldstep, DDS, FIADFE, FASDA; Cathy Delios, RDHOcclusal decay and its consequences have a major impact on the dental health of our patients. It is the single most common chronic childhood disease world-wide 1 and its results affect our patients throughout their lives. Molars and premolars are…
Clinical Uses for Silver Diamine Fluoride
by Jeanette MacLean, DDS, DABPD, FAAPDI first began using silver diamine fluoride (SDF) in my private pediatric dental practice in 2015. Minimally Invasive Dentistry is a topic near and dear to my heart as a mother and advocate for improving children’s oral health and safety.…
Silver Diamine Fluoride Unstained and Liberated
by Geoffrey Knight, BDSc, MSc, MBA, PhDThe concept of using amputation to treat an infectious disease was last used by the medical profession to treat gangrene in the late 1800s. The pharmacological management of dental caries aims to leave most caries in situ, killing the bacteria…
Enhanced Minimal Invasive Tooth Whitening
by Dr. Andrew M. Brostek, BSc, BDSc, FICD, FPFA; Professor Laurence J. Walsh, BDSc, PhD, DDSc, GCEd, FRACDS, FFOP (RCPA), FICD, FADI, FPFAKeywords Minimal Invasive Dentistry, Tooth whitening, White spot lesion, CPP-ACP, MI Paste Abstract This article discusses the philosophy behind the clinical protocols to achieve enhanced results in tooth whitening, and the successful reversal of enamel white spot lesions. External tooth…
Psoriasin: A New Biomarker in the Identification of Cancer Risk in Oral Lesions
by M.R. Darling, BChd, MSc (Dent), MSc (Med), MChD; A. Hassan, BMedSci (Hons Pathology) Candidate; L. McLean, DDS. Oral and Maxillofacial Surgery ResidentIntroduction Approximately 90% or more of oral cancers are squamous cell carcinomas (OSCCs). These often begin as potentially malignant oral lesions such as a white patch (leukoplakia; Fig. 1), or red patch (erythroplakia; Fig. 2), 1 which progress to an…
PERSPECTIVE. FOCUS. SUCCESS!
by Fay Goldstep, DDS, FIADFE, FASDAWhat an amazing world we live in – constant information at our fingertips…news…views…and more…till we plead for a break. We are constantly plugged into some device spewing data and opinion at us, so that we start to confuse opinion for…
Post-Extraction Socket and Ridge Preservation
by Zeeshan Sheikh, Dip.Dh, BDS, MSc, PhD; Nader Hamdan, BDS, MSc, MDent (Perio); Michael Glogauer, DDS, PhD, Dip.PerioIn order for implant therapy to be successful there is a need for the dental implant to be adequately integrated into host bone in the proper position in three dimensions. For this to be achieved, adequate height and volume of…
Effect of Toothbrushing with a Dentifrice on Eleven Resin Composites
by Richard Bengt Price, BDS, DDS, MS, PhD; Catherine O’Neill, MSc; Laurent Kreplak, PhD; Daniel Labrie, PhDKeywords Composite Resin, Gloss retention, Tooth Brushing, Surface Roughness Abstract The surface gloss and average surface roughness (Ra) of eleven RBCs was measured after brushing with Colgate Optic White toothpaste. It was found that toothbrushing with a dentifrice had the least…
Incorporating Glass Ionomers into Everyday Dental Practice
by Todd Snyder, DDS, FAACD, FIADFEIntroduction General dentists in private practice place numerous direct tooth colored resin restorations because of patient demand for more aesthetically pleasing restorations. In other instances, they utilize tooth colored adhesive dentistry because of its benefits of minimally invasive preparation design…
Bioactive Dentistry with Giomers
by Hugh Flax, DDS, AAACD, MICOI, DABADIn years past, traditional restorative care relied on treating damaged and decayed teeth with aggressive preparation to place a strong, firm restoration. The emphasis was on the strength of the restoration, and less about the function and biomechanics of the…
Proactive Intervention Dentistry Using Silver Diamine Fluoride to Arrest Dental Caries
by Steven M. Parrett, DDS, FAGDMy dental world was rocked upon reading the article by Horst et al in the January 2016 California Dental Association Journal.1 It became the launching pad for my journey of using silver diamine fluoride as a vital part of my…
Glass Ionomers: Why, Where and How
by Geoffrey M. Knight, BDSc, MSc, MBA, PhDComposite resin is a suitable restorative material to restore an existing failed restoration, however it is unsuitable to restore a carious lesion due to the large amount of remineralizable dentin required to achieve a reliable adhesive base. Glass ionomer cements…
Bioactivity In Restorative Dentistry: A User’s Guide
by Fay Goldstep, DDS, FACD, FADFEIntroduction The word “bioactivity” is one of the latest buzzwords in the dentistry. It is highlighted as a feature in many restorative products with different and conflicting claims. This has stirred up confusion and controversy surrounding the concept. This article…
What To Do When The Evidence Is Lacking?
by Deborah M. Lyle, RDH, BS, MSIntroduction You may recall the media storm in 2016 that was precipitated by a report by Jeff Donn from the Associated Press. He wrote there is no solid evidence that flossing is effective. Based on various form of social media…
Minimally Invasive Diagnostic Tools in the Diagnosis of Periodontal Disease
by Zahra Dorna Mojdami, HBSc, DDS; Michael Glogauer, DDS, Dip Perio, PhD; Amir Azarpazhooh, DDS, MSc, PhD, FRCD(C)Introduction The most common chronic inflammatory conditions worldwide and collectively the most common diseases known to mankind, are inflammatory periodontal diseases.1 Periodontal diseases include gingivitis, where the inflammation confined to the gingiva is reversible with good oral hygiene, and periodontitis,…
Heroic Dentistry – Courage or Folly?
by Dr. Fay GoldstepEvery day we come to the rescue of our patients by taking them out of pain, combating the results of an accident, reversing the ravages of time or simply getting them ready for a special day in their lives. We…
Evidence-Based Dentistry: How to Find Answers to Apply in Clinical Practice
by Eduardo B. Moffa, DDS, PhD1-2; Bella Luna Colombini Ishikiriama, DDS, PhD2; Yuliya Mulyiar, DDS, Student1; Harinder H. Sandhu, DDS, PhD1; Thais Marchini de Oliveira, DDS, PhD2; Maria Aparecida A. M. Machado, DDS, PhD2; Walter L. Siqueira, DDS, PhD1*Evidence-Based Medicine Since the 1980s, when McMaster Medical School in Canada termed the process of integrating scientific information into medical practice, Evidence-Based Medicine (EBM), it was formally adapted by the Evidence-Based Medicine Working Group, and a new paradigm for medical…
Heroic Restorative Repairs – A Universal Adhesive
by George Freedman, DDS, FAACD, FIADFEThe task of repairing restorations has historically been an unproductive procedure in the dental practice. Dental professionals have learned through extensive personal experience that repairs, whether intra- or extra-oral, have a very poor prognosis. In fact, no matter how carefully…
Modern Advancements in Pediatric Dentistry
by Josh Wren, DMDPediatric dentistry has seen considerable improvements in materials and treatment options over the past few years. While other dental specialties have experienced tremendous developments in their materials and methods over the past forty years, pediatric dentistry has seemed to evolve much…