Dental Did You Know: Success Rates of Veneers vs Composite Buildups

A small study has revealed that the 5 year survival rate of direct composite buildups was 79% (which was lower than the 6 year survival rate of veneers of 92%).

Source: Sevels I, Clinical Abstracts, Ontario Dentist, Dec 2012, Vol 89, No 10, pg 20-21.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Nice Dental Website: Region of Peel Oral Health Website

The region of Peel (Mississauga and area) has an informative oral health website. I'll quote from their press release:

This resource has been designed to provide parents/caregivers with clear messaging to guide proper brushing patterns as well as direct parents/caregivers to the Region of Peel oral health website (www.peelregion.ca/dental). At this website they will find additional information on caring for children's teeth and information on Region of Peel dental services including the Children in Need of Treatment (CINOT) Program and the Healthy Smiles Ontario (HSO) Program.

I've added a screenshot of the website below:

Screenshot of the Peel Region Oral Health Website (www.peelregion.ca/dental)

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Added a New Blog to my Reading List: JCDA's Question and Answer Blog

Added the Journal of the Canadian Dental Association's Clinical Question and Answer Blog to our blog reading list. It is a tremendous resource for clinicians and worth a view from patients if you are so inclined. We are also honoured to be recognized by them as a top dental blog. Thanks!! :)

Source: Canadian Dental Association's Clinical Question and Answer Blog: http://www.jcdablogs.ca/, read Dec 7, 2012

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Colon Cancer and Proposed Breath Screening

A small study from Italy has determined that it is possible to use breath analysis of volatile compounds to identify people with colorectal cancer.

Source: CBC News website, http://www.cbc.ca/news/health/story/2012/12/04/colon-cancer-breath-test.html, first posted Dec 5, 2012, read Dec 6, 2012.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

End of Year Reminder: Take Advantage of your Dental Insurance Benefits!

Just a reminder to everyone with dental insurance benefits that renew in January:

Take advantage your benefits by scheduling your hygiene or restorative appointments before the year is up to preserve the full amounts of your insurance for the following year. Statements for this year's dental expenditures for tax purposes will be ready anytime after January 1st, just phone Jodie with your request.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Obesity and Dental Health

Men and women with a BMI over 30 regardless of smoking or diabetes status had a greater risk of developing periodontal disease than those with a healthy body weight.

Source: Ward W and Fritz P, Obesity and Periodontal Health: What's the Link? Should I be Concerned? Oral Health, Oct 2012, Vol 102, No 10, pg 80-83.


Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Research Impacts of Dental Journals

The research impacts and influences of the three most prestigious medical journals are approximately 10 times greater than those of the three most frequently cited dental publications. (New England Journal of Medicine, Lancet, Journal of the American Medical Associations vs. Journal of Clinical Periodontology, Journal of Dental Research, Oral Oncology)

Source: Hardie J, Why Research Findings are Usually Wrong, Oral Health, Vol 102, No 9, September 2012, pg 40-51.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Lack of Brushing and Dementia

A study in the Journal of the American Geriatrics Society and summarized in the National Post newspaper showed that those reporting to brush less that once a day had a 65% increase in the incidence of dementia versus those who brushed daily.

Source: National Post Online, http://life.nationalpost.com/2012/08/21/good-oral-health-linked-to-reduced-risk-of-dementia/, read and published on August 21, 2012.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Second Hand Smoke and Periodontal Disease

A recent study found that periodontal (bone loss/inflammation) disease was found 1.6 times more frequently in non-smokers with self reported exposure to environmental tobacco smoke.

Source: Sevels I, Clinical Abstracts, Ontario Dentist, July/August 2012, Vol 89, No 6, pg 38-39.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Dental Implant Care and Inflammation

It is very important to take care of your dental implants through regular hygiene at home and at the dental office. The long-term prevalence of peri-implant mucositis (inflammation) is as high as 76.6%, which ultimately can affect the retention of the implant.

Source: Massad J, Implant Home Hygiene, Oral Health, July 2012, Vol 102, No 7, pg 49-54.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: White Spot Lesions After Orthodontic Treatment

95% of patients develop at least one white spot lesion or enamel surface decalcification following orthodontic treatment. Oral hygiene discussions before treatment helped reduce the incidence of these lesions.

Source: Sevels I, Clinical Abstracts: White Spot Lesions After Orthodontic Treatment, Oral Health, June 2012, Vol 89, No 5, pg 16-17.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Sugar Consumption in Canada

The average Canadian consumed 26 teapoons of sugar a day in 2004. (Wow!)

Source: Statistics Canada, http://www.statcan.gc.ca/pub/82-003-x/2011003/article/11540-eng.htm (read on May 17/2012)

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Women in Dentistry

As of 2010, the majority of Dental school graduates in North America were female. In Canada as of 2008, 6 out of 10 Dental schools had a female majority.

Source: J Can Dent Assoc 2012;78: c1 (citation style requested by journal) 

Hans Skariah, B.Sc., DMD

Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Baseball Players and Chewing/Smokeless Tobacco

Although the latest information was from the 1988-1990 spring training seasons, the data showed that 40% of players used smokeless tobacco. 50% of those had leukoplakia-like lesions where they held it in their mouths while 2% of  non-users had similar lesions.

Source: Feferman I, Healthline: Running Risks, Oral Health, May 2012, Vol 89, No 4, pg 26.


Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

New Equipment: Statim G4 2000

We are pleased to have one of the newest pieces of sterilization equipment in Toronto (at least according to our Henry Schein Dental Installer :) ...the Statim G4 2000. Similar to the older Statim, this model allows for the precise tracking of temperature and pressure during the entire sterilization process. It can also be accessed by the network for operating information.



Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

New Hygienist: Marchie Tan

Some of our patients have seen her already, but we are pleased to introduce Marchie Tan to our practice. She has been steadily working with us since January and now works  Monday and Wednesday evenings. Her style is similar to all our other hygienists.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Saving Hopeless Teeth

Teeth that are mobile and periodontally involved have traditionally been extracted. However, a case report in the ODA Journal suggests that some of these teeth can be saved by a course of deep scaling, antibiotics (Amoxicillin and Metronidazole; 250 each tid for seven days) and endodontic (root canal) treatment.

Source: Tenenbaum H and Szainwald K, Saving Hopeless Teeth: Case Report, Ontario Dentist, April 2012, Vol 89, No 3, pg 23-25.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Practice Update: Easter Holiday Hours

Hi everyone, just giving an update on our hours. We will be closed on Friday and Sunday this weekend, but will be open on Saturday and Monday on a limited basis for scheduled patients and emergencies. Happy Easter!

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Obstructive Sleep Apnea in Children

The prevalence of Obstructive Sleep Apnea (associated with oxygen desaturation, gas exchange abnormalities and disrupted sleep) is 2-4% in children with at a peak incidence occurring at 2-8 years old.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: University of Toronto's Dental Library on Facebook

Yes, now you can keep tabs on the happenings of the Dental Library at the University of Toronto through Facebook via this link: http://www.facebook.com/uoftdentistrylibrary


Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Sports Drinks, Acidity and the Effects on Teeth

Most sports drinks are quite acidic (pH 3-4) and if taken to excess, may lead to dental erosion and demineralization. One study found that 57% of 11-14 year-olds had evidence of some dental erosion.

Source: Feferman I, Healthline: Risks of Sports Drinks, Ontario Dentist, March 2012, Vol 89, No 2, pg 20-21.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Smoking Rates for Canadians

Health Canada's Canadian Tobacco Use Monitoring Survey in 2010 reported that 17% of the population older than 15 years smoked. The rate among youth aged 15-19 was 12%.

Source: Dean B, Oral Health Month-Start a Conversation, Save a Life, Ontario Dentist, Jan/Feb 2012, Vol 89, No 1, pg 52-53.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: The Increasing Rate of Caries (Cavities) in Children

The prevalence of dental decay in the United States (and presumably in Canada) in children aged 2-5 has increased 15.2% according to recent data from the Center for Disease Control and Prevention. Factors that influence this rate include:

1. Active dental caries in the primary caregiver
2. Socioeconomic status  
3. Dental IQ  
4. Medical history 
5. Dietary habits

Source: Cohn C, Why Does My Child Get So Many Cavities? What Can I Do About It?, Oral Health, January 2012, Vol 102, No 1, pg 46-53.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Here we grow again: New Hygienist!

We welcome Joni Nauss to our family practice. Joni has an easy going personality and has a style quite similar to our other hygienists. She will mostly work on Thursdays and Saturdays for us.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Warfarin

Warfarin, a vitamin K antagonist has been an effective oral anti-coagulant for over 50 years. It was discovered in 1945 as a result of research at the University of Wisconsin looking into a pesticide for mice and rats. (Patients may need additional management involving certain dental procedures such as extractions)

Source: Feferman I, Healthline: End of an Era (Warfarin), Ontario Dentist, Dec 2011, Vol 88, No 10, pg 16-17.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Saw this infographic from Carrington College's Dental Assisting Program in California. I'm not sure I agree with the personality aspects of this graphic, but it's interesting to note what is out there in terms of information.

Source: http://carrington.edu/cccblog/programs/dental-assisting/teeth-and-your-personality/

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Happy New Year! Some Dental Resolutions for the New Year!

Happy New Year to everyone! May it be happy, healthy and prosperous!

Just wanted to give some dental resolutions that could be implemented with a little effort to ensure a great smile for the New Year:

1. Brush 2 minutes twice a day...yes, I said 2 minutes (not 1 minute or 30 seconds or once a day). It really does take that long to clean the majority of surfaces your mouth decently.
2. Floss...yes, I know you tend to do it before dental appointments. However, 40% of your teeth are not being cleaned if you don't do it and a substantial percentage of cavities start in those areas
3. Clean your tongue. I would say 95% of patients don't do this. A couple of quick swipes on the tongue is usually enough.
4. Reduce your intake of candies/sweets: it will reduce the incidence of cavities, improve your blood sugar and weight.
5. Drink more water. In moderation, this a great thing, especially after staining drinks like coffee, tea and wine. Want to reduce all that coffee/tea stain between hygiene appointments? Take a sip or two of water after you finish your drink.
6. Regular maintenance appointments. Seeing your Doc/Hygienist for a checkup and scaling is truly the dental version of the oil change. Prevention is always the best option.
7. Get things fixed while they are small (don't procrastinate). Dentistry seemingly operates on an exponential cost scale as things get more involved and complex. Getting a restoration that costs a couple of hundred dollars (and is usually covered by insurance) is much better for you and your pocketbook than letting it turn into a multi-thousand dollar root canal/core/crown or implant

Again, all the best for the New Year! :) We will be back to normal operations on Wednesday Jan 4.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100