For today’s morninghuddle, we’ll back track to some information that you learned in dental school. Our hot topic: recurrent herpes labialis or more commonly known as cold sores. Caused by HSV-1 (herpes simplex virus type-1 and less frequently type 2), herpes labialis is characterized by it’s eight stages: Prodrome, erythema, papule, vesicle, ulcer/soft crust, hard crust,…
Successful management of pain is a critical aspect of dentistry. This becomes a great challenge when patients present to clinic with a painful endodontic emergency. Management of acute symptoms of irreversible pulpitis can be difficult to manage especially in the posterior lower quadrants. As IANB success in patients with irreversible pulpitis can be as low as 30%. The…
Recurrent aphthous stomatitis (RAS) is of the most common and debilitating oral pathologies. Some studies show up to 25% of the population being affected by RAS. The disease has three clinical variants: minor, major and herpetiform aphthous. The most common form however is minor RAS. RAS can be caused by a variety of factors: immune and hematological deficiencies,…
We got what you’ve been missing… Third molars, otherwise known as wisdom teeth are the most commonly missing teeth in the human dentition. What’s more is that 40% of agenesisof third molars often occurs unilaterally. Teeth development is resultant of epithelial cells interacting with underlying ectomesenchyme. At birth all permanent teeth have begun development and most of…
Pediatric endodontics can be confusing and challenging. Choosing the right treatment plan is dependent on a multitude of factors: primary vs. permanent tooth, pulpal state, open vs. closed apex, estimated retention time for the tooth, and a variety of materials to use. To make things just a bit tougher, you’re usually dealing with a patient with limited cooperation and…
Even the most experienced dentists have a hard time achieving inferior alveolar nerve (IAN) anesthesia 100% of the time. Although the numbers can vary with every study, it’s reported that IAN anesthesia failure can be as high as 48%. Nothing can put fear in your soul like when a patient jumps up when you’re 30 seconds into drilling…
The following is the third and final presentation on the management of ectopic eruption of teeth. Part 3 As we’ve seen so far, autotransplantation can be used with great success in treating ectopic and/ or transmigration of teeth. This novel treatment has it’s roots (no pun intended) in ancient Egypt, where slaves were forced to give up their teeth…
It’s Friday afternoon. You’re ready to go home. You’ve extracted a tooth on the maxilla, and now you see an itty-bitty hole in bottom of the tooth socket. Could it be…a sinus perforation? This can lead to a lot of problems down the road for the patient. In fact, tooth extractions are not the only way oroantral communications (OAC) can happen. Dental…
Pediatrics Refresher: Pulpotomy Pulpotomy of the primary tooth is indicated when caries has infiltrated the pulp or there has been a traumatic exposure of the pulp. The coronal tissue of the pulp is first amputated then a hemostastic agent is used to stop the bleeding of the pulp prior to placement of intermediate restoration, followed…
The following presentation is a sequel case series on the management of ectopic eruption of teeth. Part 2 As we’ve discovered, autotransplantation can be an efficient means in treatment of ectopic eruption of a tooth in an adolescent patient. For this procedure to be successful many factors need to be considered. In this article we will introduce…