Vanessa Johnson, Mario A Brondani, HsingChi von Bergmann, Susan Grossman, Bruce Wallace, Leeann R Donnelly
{"title":"Development and Implementation of a Dental School-Based Oral Health Helpline: A Pilot Project.","authors":"Vanessa Johnson, Mario A Brondani, HsingChi von Bergmann, Susan Grossman, Bruce Wallace, Leeann R Donnelly","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the development of an oral health helpline and preliminary outcomes from January 2021 to December 2022.</p><p><strong>Methods: </strong>The Faculty of Dentistry at University of British Columbia (UBC) conducted a pilot project to develop a helpline providing free oral health information, referrals and aid navigating public dental benefits for underserved communities. Development included infrastructure, supporting documents and personnel. We reviewed service data alongside data from follow-up contacts and an online satisfaction survey.</p><p><strong>Results: </strong>During the pilot period, 118 interactions took place with 72 individuals. Referrals to low-barrier community clinics were offered to 59 (81.9%) users, while 26 (36.1%) received information on public dental benefits, oral health, and helpline services and 5 (6.94%) were connected with their student provider. Of the 32 users seeking oral health care who could be followed up, 5 (15.6%) received dental services and 17 (53.1%) received dental hygiene services.</p><p><strong>Conclusion: </strong>The helpline facilitated access to oral health care by providing oral health-related information and care navigation.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"91 ","pages":"6"},"PeriodicalIF":0.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Larissa Fernandes Vieira da Silva, Alencar Rodrigues Rosa, Clara Lemos Leal Barata de Mattos, Márcia Luciana Carregosa Santana, Tauan Rosa Santana, Paula Fernanda Damasceno Silva, André Luis Faria-E-Silva
{"title":"Impact of Blinding Shade Guides on the Precision of Colour Selection and Hue Preference in Dental Practice.","authors":"Larissa Fernandes Vieira da Silva, Alencar Rodrigues Rosa, Clara Lemos Leal Barata de Mattos, Márcia Luciana Carregosa Santana, Tauan Rosa Santana, Paula Fernanda Damasceno Silva, André Luis Faria-E-Silva","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the impact of blinding shade guide tabs on the accuracy of colour selection and the preference for shades in the A hue category.</p><p><strong>Methods: </strong>Disc-shaped specimens were created in 8 shades: 4 in the A hue (A1, A2, A3, A4) and 4 in different hues (B1, B2, C2, D3). Using both blinded and unblinded guides, 15 dental students and 15 experienced dentists evaluated the specimens' shades. Colour accuracy was assessed using the overall colour difference (ΔE00) and individual colour coordinates (CIELCH system) between the selected shade tab and the actual specimen. The percentage of selections favouring the A hue was also calculated.</p><p><strong>Results: </strong>Blinding the shade guide tabs did not significantly impact the accuracy of colour selection. However, unblinded evaluations resulted in a higher percentage of selections favouring the A hue (44%) compared with blinded evaluations (34%). No significant difference was found between the evaluations of dental students and experienced dentists.</p><p><strong>Conclusion: </strong>Blinding shade guide tabs did not affect the precision of colour selection but reduced the tendency to choose shades in the A hue category.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"91 ","pages":"5"},"PeriodicalIF":0.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Firoozeh Samim, Joel B Epstein, Sara C Gordon, Adel Kauzman, Pallavi Parashar, Ayushi Naik, Amanda Gruza
{"title":"Human Papillomavirus-Related Oropharyngeal Carcinoma: Update on Etiology, Management and the Role of Oral Health Care Providers.","authors":"Firoozeh Samim, Joel B Epstein, Sara C Gordon, Adel Kauzman, Pallavi Parashar, Ayushi Naik, Amanda Gruza","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The role of oncogenic subtypes of the human papillomavirus (HPV) in the pathogenesis of cervical dysplasia, cervical cancer, anal intraepithelial neoplasia, penile intraepithelial neoplasia, vaginal intraepithelial neoplasia and oropharyngeal carcinomas (OPC) is well documented. The classification and management of HPV-positive OPC (HPV+ OPC) has been modified because of differences in the molecular, biological and clinical behaviour of this disease compared with HPV-negative OPC (HPV- OPC) and conventional oral squamous cell carcinoma (OSCC).</p><p><strong>Description: </strong>HPV+ OPC is associated with significant morbidity, mortality and cost burden on individual patients and the health care system. Preventive measures and efficient screening programs aim to reduce this burden, and oral health care providers are expected to play a pivotal role in this context. Just as they are involved in tobacco and alcohol counseling and cessation, they should support such public health initiatives as HPV screening, detection of potentially premalignant and malignant lesions, patient education about the risk of HPV infection and promotion of HPV vaccination.</p><p><strong>Practical implications: </strong>The advent of HPV vaccines has modified the epidemiologic landscape and the management of cervical dysplasia and cancer. Similar changes are expected with HPV+ OPC. In this paper, we review HPV+ OPC and discuss how oral health care providers can be effectively involved in the fight against this disease.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"91 ","pages":"4"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jasmine Thao Nguyen, Anne-Frédérique Chouinard, Pierre H Rompré, Basma Dabbagh
{"title":"Profile of Juvenile Idiopathic Arthritis Patients in a Specialized Temporomandibular Joint Clinic in Canadian Pediatric Hospitals.","authors":"Jasmine Thao Nguyen, Anne-Frédérique Chouinard, Pierre H Rompré, Basma Dabbagh","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>A specialized temporomandibular joint (TMJ) dental clinic was created at the Centre hospitalier universitaire (CHU) Sainte-Justine to optimize care of patients with juvenile idiopathic arthritis (JIA). In this article, we characteristics of patients with JIA and the resources available in Canadian pediatric hospitals for JIA patients with TMJ involvement.</p><p><strong>Methods: </strong>To determine patient characteristics, we compiled retrospective data on patients seen at the TMJ clinic. Regarding resources available for patients with JIA, we sent questionnaires to the departments of rheumatology and dentistry of 13 Canadian pediatric hospitals.</p><p><strong>Results: </strong>Of the 86 JIA patients included in our study, 42% (95% confidence interval 32-52%) had TMJ involvement. Panoramic radiography was the imaging prescribed most often for patients with JIA (91%) and frequency of follow up was most often every 6 months. In the second part of the study, 7 hospitals were included; 2 had a specialized TMJ clinic. In many cases, reports of types of imaging and available dental specialists differed between the rheumatology and dentistry questionnaires for the same hospital.</p><p><strong>Conclusion: </strong>Few Canadian pediatric hospitals have a specialized TMJ clinic for JIA, and there seems to be a gap in the knowledge of primary care physicians regarding TMJ diagnosis and the management of patients with JIA.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"91 ","pages":"2"},"PeriodicalIF":0.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Temporomandibular Joint Disorders Following a Motor Vehicle Accident - A Scoping Review for Canadian Dental Professionals.","authors":"Nik Bhargava, Katie Perich, Reid Friesen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The diagnosis, symptom onset, treatment, prognosis, radiographic features and effect of litigation on patients suffering temporomandibular disorders (TMDs) following motor vehicle accidents (MVAs) are still unknown yet highly debated. This review summarizes literature on this topic and provides evidence-based guidance to dental practitioners.</p><p><strong>Methods: </strong>We applied PRISMA guidelines and their extension for scoping reviews (PRISMA-ScR). The search strategy was defined, and the electronic search included PubMed, MEDLINE, EMBASE, Cochrane Library, Web of Science, and Scopus. Extracted data were organized into categories, and we present a narrative summary of the main findings.</p><p><strong>Results: </strong>We included 37 articles in the review: 15 assessed the diagnosis of TMD following an MVA; 6 assessed onset of symptoms; 13 analyzed treatment options; 10 reviewed prognosis; 6 reviewed imaging findings; and 4 reviewed litigation factors.</p><p><strong>Conclusion: </strong>The review revealed heterogeneous results regarding the diagnosis, treatment, prognosis, imaging and litigation factors in MVA-related TMD patients. Future studies are recommended, and no definitive conclusions were drawn.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"91 ","pages":"1"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina Menezes Maciel, Tauan Rosa Santana, Paulo Henrique Dos Santos, André Luis Faria-E-Silva
{"title":"Tooth Bleaching Effects on Colour Matching of Single-Shade Composite Restorations.","authors":"Carolina Menezes Maciel, Tauan Rosa Santana, Paulo Henrique Dos Santos, André Luis Faria-E-Silva","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Tooth bleaching is a common cosmetic procedure, but it can result in colour mismatches with existing resin composite restorations. However, single-shade composite resins are designed to adapt to the colour of bleached teeth, potentially eliminating the need to replace restorations.</p><p><strong>Objectives: </strong>To evaluate the effect of tooth bleaching on colour matching of single-shade resin composite restorations using instrumental and visual assessments.</p><p><strong>Methods: </strong>Round restoration preparations on the buccal and palatal surfaces of intact molars were restored with Charisma Diamond One or Palfique Omnichroma composite resins. Colour measurements were taken using a cell phone and image-processing software before and after restoration and again after 3 applications of a 35% hydrogen peroxide bleaching agent. Colour changes were calculated using whiteness (WID) and CIELAB colour difference (ΔE00) indexes. Visual assessments of colour match were also conducted by evaluators.</p><p><strong>Results: </strong>Both restorations and enamel exhibited comparable WID values after bleaching, and no significant changes in ΔE00 values were observed. However, evaluators assigned better colour matches to unbleached restorations.</p><p><strong>Conclusion: </strong>Instrumental colour measurements indicated that tooth bleaching did not significantly affect the colour match of single-shade resin composite restorations. However, visual assessments revealed poorer colour matching after bleaching.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"91 ","pages":"3"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the Mandibular Function Impairment Questionnaire in Clinical Diagnosis of Temporomandibular Joint Disorder.","authors":"Nan Su, Mark Darling, Miriam Grushka","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The Mandibular Function Impairment Questionnaire (MFIQ) was developed for clinical assessment of functional impairment in patients with temporomandibular disorder (TMD). It allows patients to rank difficulty performing 17 jaw-related functions as low, moderate or severe. Our study was designed to determine whether the MFIQ is also helpful in differentiating TMD from other causes of orofacial pain in a clinical setting.</p><p><strong>Methods: </strong>A retrospective study was conducted at a private oral medicine/orofacial pain clinic. New patients who attended with orofacial pain complaints were selected (n = 174). All patients had filled out the MFIQ as part of new patient intake forms.</p><p><strong>Results: </strong>The study population consisted of 120 TMD patients, 25 patients with burning mouth syndrome (BMS), 19 with oral lesions (OLs) and 10 with trigeminal neuralgia (TN). TMD patients had significantly greater difficulty taking a large bite, yawning, chewing hard and resistant foods including meat, raw carrot, and apples compared with OL and BMS patients. The MFIQ alone was not able to distinguish between TMD and TN.</p><p><strong>Conclusions: </strong>The MFIQ is a short questionnaire that is openly accessible and can be completed relatively quickly by patients in a general dentistry clinic. High ranking of difficulty for items associated with taking a large bite, chewing hard or resistant food and yawning in the presence of complaint of orofacial pain should raise suspicion of TMD and TN as a possible source of the pain.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"90 ","pages":"o10"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Workshop on Envisioning a Sustainable Virtual Oral Health Care: A Meeting Report.","authors":"Krithika Priyadharshini Arunagiri, Aimee Dawson, Stephanie Morneau, Sandra Verdon, Marie-Pierre Gagnon, Pascaline Kengne Talla","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"90 ","pages":"o9"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142838999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lulwah Al Reshaid, Wafa El-Badrawy, Gajanan Kulkarni, Maria Jacinta Santos, Anuradha Prakki
{"title":"Trends in Teaching Posterior Restorations in North American Dental Schools: A Comparative Study.","authors":"Lulwah Al Reshaid, Wafa El-Badrawy, Gajanan Kulkarni, Maria Jacinta Santos, Anuradha Prakki","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To compare trends in teaching and placement of composite resin versus amalgam in posterior restorations in Canadian dental schools with those in the United States.</p><p><strong>Methods: </strong>Secondary descriptive and statistical analyses were performed on data from 2 previous studies. The data consisted of responses to questionnaires on teaching policies and the proportion of posterior restorations (amalgam and composite resin) performed in Canadian and US dental schools. Fisher's exact test and 2-sample z-test were used to compare the proportions.</p><p><strong>Results: </strong>Canadian dental schools allocated less time than US schools to teaching composite resin restorations (p = 0.006): 22.2% of Canadian schools versus 76.4% of US schools devoted more than 50% of preclinical teaching time to such restorations. Canadian dental schools also dedicated more time to teaching amalgam restorations (p = 0.041): 33.3% of Canadian schools versus 8.8% of US schools devoted 50-75% of preclinical teaching time to amalgam restorations. Between 2008 and 2018, a significantly higher proportion of composite resin restorations were performed in US dental schools than in Canadian schools (p < 0.001).</p><p><strong>Conclusions: </strong>In Canadian dental schools, teaching of posterior composite resin restorations was more conservative than in US schools. There was no consensus among Canadian and US dental schools on composite resin preparation techniques or contraindications. Clear, standardized guidelines pertaining to composite resin teaching policies are suggested.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"90 ","pages":"o5"},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swathi Ramachandran, Tracey L Adams, Jelena Atanackovic, Mario A Brondani, Ivy Bourgeault
{"title":"Mental Health of Canadian Dentists Before and During the COVID-19 Pandemic.","authors":"Swathi Ramachandran, Tracey L Adams, Jelena Atanackovic, Mario A Brondani, Ivy Bourgeault","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>A growing body of literature highlights the negative impact of the COVID-19 pandemic on the mental health of health care professionals. This paper explores the effects of gender and work/life factors on dentists' mental health before and during the pandemic.</p><p><strong>Methods: </strong>Data were obtained from a cross-sectional, online survey of Canadian dentists, which was part of a broader study of Canadian professionals' mental health challenges conducted in 2020-2021. Using logistic regression, we compared the influence of life stress, work stress, gender and role in practice on dentists' self-rated mental health before and during the pandemic.</p><p><strong>Results: </strong>Respondents reported that their mental health had worsened during the pandemic. Among survey respondents (n = 397), women dentists (50%) reported worse mental health than men (39%). Those who had higher levels of work and life stress reported more mental health challenges both before and during the pandemic.</p><p><strong>Conclusions: </strong>Our findings point to the need for more attention to dentists' mental health and highlight the need for gender-sensitive mental health resources and supports for Canadian dentists.</p>","PeriodicalId":50005,"journal":{"name":"Journal of the Canadian Dental Association","volume":"90 ","pages":"o7"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}