The CAPD/ACDP recognizes that the future national voice of pediatric dentistry in Canada lies within its graduate student population. Whether students are participating in a program within Canada or in the United States, there is one common thread amongst them all - they are linked together and with their active CAPD/ACDP member colleagues through the CAPD/ACDP website.
Students are welcome to submit announcements and/or news that they wish to share on the website about their activities relating to student affairs, meetings or scientific research by contacting the site administrator.
CAPD/ACPD also recognizes the importance of our undergraduate students in Dentistry who have taken an active interest in Paediatric Dentistry. CAPD/ACPD, through the establishment of the Norm Levine Undergraduate Student scholarship, continues to encourage and support the development of these young learners.
There are set guidelines that graduate students need to follow in order to attend and/or submit abstracts for the 3M ESPE Graduate Student Research presentations. The following PDF file contains the information necessary for students' participation:
Please note that the 2017 deadline for submission of Abstracts is July 10.
The annual 3M Oral Care Graduate Student Research Presentations and Awards are a result of the partnership formed between 3M Oral Care and CAPD/ACDP. The money 3M Oral Care generously donates goes to Canadian graduate students in pediatric dentistry who present their research topics at the CAPD/ACDP Annual General Meeting.
Each year, 10 Graduate students will be invited to the Annual meeting to present their research. Invited students are eligible for the 3M Oral Care CAPD/ACDP Graduate Student Award of $1000 which is awarded to the best presenter as determined by a panel of judges. 3M ESPE also awards a sample of their product line to all graduate student presenters.
In addition to qualifying for the 3M Oral Care Award, CAPD/ACDP will provide each presenter with
Dr. Edwin Chan receives a cheque for $1000.00 from Gigie McGlynn of 3M at the 2016 CAPD/ACDP Annual Meeting
The Dr. Keith Titley Pediatric Dentistry Graduate Training Scholarship
Dr. Keith Titley was a full Professor in the Department of Pediatric Dentistry, Faculty of Dentistry, University of Toronto from 1970 to 2008. Keith worked tirelessly as an educator in both undergraduate and graduate training in Pediatric Dentistry.
He was a mentor and a friend to many graduate trainees in Pediatric Dentistry and the products of his work are spread across Canada providing advanced oral health care to children, and education and research in Pediatric Dentistry. He was the supervisor for countless diploma theses in Pediatric Dentistry and the supervisor for as many M.Sc in Pediatric Dentistry theses.
Keith also worked tirelessly first as Chief Examiner and then as the Registrar for the Royal College of Dentists of Canada. In doing so he insured the importance of advanced training in the recognized specialty programs of Canada and as such insured an examination process that was fair and equitable for all dental specialties.
Keith has also been a strong supporter and member of the Canadian Academy of Pediatric Dentistry/Academie Canadienne de Dentisterie Pediatrique.
In recognition of Dr. Titley’s quiet, yet tireless work in the area of Pediatric Dentistry this scholarship of the Canadian Academy of Pediatric Dentistry/Academie Canadienne de Dentisterie Pediatrique has been named in his honour.
Read the full Terms of Reference and Instructions for Application for this scholarship.
Download the Dr. Keith Titley Pediatric Dentistry Graduate Training Scholarship Application Form
(After filling in the form in Microsoft Word, follow the instructions in the Terms of Reference document above.)
Download the Dr. Keith Titley Pediatric Dentistry Graduate Training Scholarship Advisor Statement.(After your advisor fills in the form in Microsoft Word, follow the instructions in the Terms of Reference document above.)
Dr. Julia Rukavina presents Yichen (Bridget) Wu with the Dr. Norman Levine Award.
They are standing in front of Dr. Levine’s portrait.
Dr. Rukavina noted that the portraits in the Children’s Clinic at U of T.
They were done by Ms. Amanda Arlotta (a student at OCADU), the daughter of our secretary in the Paedo. Dept.
AND TO GUILLAUME GOULET OF LAVAL UNIVERSITY.
Laura Rose MacDonald, Dalhousie University
(here pictured with Dr. Ross Anderson on the occasion receiving the Dr. D.E. Williams award.)
|Guillaume Goulet, Université Laval
accompanied by professor Dre Suzanne Hébert and by the Dean, Dre Cathia Bergeron. Photo© Université Laval / Pascal Duchesne
Undergraduate students actively enrolled in an educational program in dentistry accredited by the Commission on Dental Accreditation of Canada or an accreditation body with which the Commission on Dental Accreditation of Canada has a reciprocal accreditation agreement, are eligible to apply for Undergraduate student membership.
All student members shall be exempt from membership dues, receive copies of all general membership communications and publications without charge.
Also…Undergraduate student members may attend meetings of the Academy after registering and paying all associated fees. For complete details see Section 4.2.5 of the Constitution and By-Laws.
Dr. Norm Levine was the first graduate trainee in pediatric dentistry from the Faculty of Dentistry, University of Toronto program in 1960. Norm was Professor and Head of the Department of Pediatric Dentistry, Faculty of Dentistry, University of Toronto from 1976 to 1993. He was an internationally renowned and respected leader in dentistry for Persons with Disabilities.
Demonstrating a steadfast passion for pediatric dentistry, Norm raised its profile and reputation. The “Bear”, as he was known, was a caring and compassionate gentle giant He was awarded the Order of Canada for his commitment to pediatric dentistry and those with special oral health care needs. He instilled that passion in many undergraduate and graduate trainees in pediatric dentistry and many of them, from the very program that he became Professor and Chair of, have relocated across Canada and the world to private practices, hospital departments and academia promoting that same passion for excellence in pediatric dentistry.
It is with great honour and respect that the membership of the Canadian Academy of Pediatric Dentistry/ Academie Canadienne de Dentisterie Pediatrique has established The Canadian Academy of Pediatric Dentistry/Academie Canadienne de Dentisterie Pediatrique Dr. Norman Levine Undergraduate Dental Student Award.
There will be one award given annually to each accredited Canadian Faculty of Dentistry for a third or fourth year DDS/DMD student who demonstrates aptitude and passion for the field of pediatric dentistry and/or dentistry for persons with special needs.
The recipient should be nominated by the Undergraduate Pediatric Dentistry director in consultation with the respective faculties’ awards committee. The recipient of this award will receive $200.00.
Accredited Canadian Faculties of Dentistry may contact and invoice the Canadian Academy of Pediatric Dentistry/Academie Canadienne de Dentisterie Pediatrique with the nominees name at firstname.lastname@example.org once annually within their respective academic awards cycle.
Dr. Edwin Chan, University of Toronto, Toronto, Ontario
Introduction: The treatment of immature necrotic permanent teeth presents several clinical challenges in endodontics. Regenerative endodontic procedures (REPs) permit root development, increase in canal wall thickness and apical closure.
Objective: The purpose of this study was to evaluate the long-term clinical and radiographical outcomes of REPs over a 30-month period.
Methods: This longitudinal cohort study was carried out at the Division of Dentistry of the Montreal Children’s Hospital. Twenty-eight immature necrotic permanent teeth from 22 patients were included in this study. All teeth were treated with a standardized REP protocol. Patients had follow-up appointments at 1, 2, 3, 6, 12, 18, 24 and 30 months. At each appointment, clinical examination was performed to monitor signs and symptoms. Radiographic evaluation was also performed by a calibrated endodontist in order to analyze different parameters.
Results: Our results demonstrate a high survival rate (96.4%), clinical success (92.8%) and resolution of apical pathology (100%). Significant increases in the average root length (8.1%; p<0.0001) and radiographic root area (11.6%; p=0.03) were observed after an average of 30 months follow-up. In the study period, a considerable decrease in apical diameter was also noted (p<0.0001), with 30.8% of the cases showing a complete apical closure. Teeth with more immature stages of root development had a higher percentage of change in root thickness, length and apical diameter; however, these results were not statistically significant.
Conclusion: REPs showed high resolution of apical pathology and clinical success without significant complications in treating immature necrotic permanent teeth over a 30-month period. An increased root thickness, root length and apical closure was observed, although a clinically significant change was not achieved in all cases.
Dr. Kunal Chander, University of British Columbia, Vancouver, British Columbia
Objectives: To examine the effects of artificial aging on shear bond strength to dentin (SBS), flexural strength (FS) and diametral tensile strength (DTS) of four restorative glass ionomer cements.
Methods: Sound extracted human permanent molars were ground to flat occlusal dentin surface and fixed in a circular mold with an auto-cured acrylic resin for the shear bond strength test. The teeth were randomly divided into four groups: (1) Fuji II LC (FLC), (2) Equia (EQ), (3) Ketac Nano (KN), and (4) Ketac Molar (KM). For each dentin surface, two glass-ionomer cylinders were bonded. Specimens were stored in artificial saliva (37°C) and tested at 24-hour and 6-month period. Flexural strength bars (25mm x 2mm x 2mm) and diametral tensile strength discs (4mm x 2mm) for each material were fabricated, stored in artificial saliva (37°C), and tested after 24-hour and 6-month period. An additional flexural strength study was conducted with glass ionomer specimens stored either in distilled water or artificial saliva (37°C), and tested at 24-hour and 2-month periods. Data were analyzed in a two-way ANOVA (p<0.05) with post-hoc Tukey’s tests to compare interactions.
Results: Dentin-glass ionomer bond strengths (SBS) were stable after 6-month storage, however a significant decrease was observed for KN (Table 1). There were no significant differences in SBS among the four glass ionomers. The DTS did not change significantly after aging except for FLC group (Table 1). The FS increased significantly after aging in all groups (Tables 1 & 2) regardless of the storage media (water or saliva). Storage media did not affect flexural strength of materials (Table 2). FLC group presented significantly higher diametral and flexural strength compared to other groups (Tables 1 & 2).
Conclusions: Restorative glass ionomer cements presented stable dentin bonds, except for KN. Flexural strength improved over time for all glass ionomers, regardless of the storage media. DTS did not change over time, except for FLC. Overall, FLC demonstrated superior mechanical properties compared to the other materials studied.
Acknowledgements: UBC Faculty of Dentistry (Start Up Funds and Graduate Program Research Funds), GC America and 3M/ESPE.
Dr. Anne-Sophie Fortin Pagé, CHU Sainte-Justine, Department of Pediatric Dentistry, Montreal, Quebec
Objectives: To assess the outcomes of lingual frenotomy on breastfeeding efficacy and mother's pain among infants diagnosed with ankyloglossia. The secondary objective is to assess whether the timing of the frenotomy has an impact on the outcome.
Methods: Infants referred to the Montreal Children’s Hospital by a health professional or a certified lactation consultant for a frenotomy were evaluated for enrollment in this cohort study. Healthy infants under 3 months of age, who had difficulty breastfeeding, a poor score on the Hazelbacker Assessment Tool for Lingual Frenulum Function (HATLFF) and whose parents accepted the frenotomy were included. Ankyloglossia was classified into four types according to Coryllos classification. Mothers’ complaints, weight gain since birth and feeding methods were noted. Infant Breastfeeding Assessment Tool (IBAT) and Numerical Pain Rating Scale (NRS) were completed by the mothers at baseline evaluation, 7 days and 31 days after the frenotomy. A 6-month telephone follow-up was done to assess continuation of breastfeeding.
Descriptive statistics and Related-Samples Wilcoxon Signed Rank Test were performed to evaluate differences in IBAT scores and NRS scores before and after frenotomy. Additionally, Independent-Samples Mann-Whitney U Test was used to compare the timing of frenotomy (<14 days old vs. ≥ 15 days old).
Results: Sixty-nine infants diagnosed with ankyloglossia were included in the study. Frenotomy were more performed on males (61%) than females (39%) and the average age was 17 days. The majority of infants presented with ankyloglossia type 2 (41%), followed by type 3 (38%), type 1 (17%) and type 4 (4%). In all types, IBAT and NRS scores improved significantly between the baseline and 7 days (p<.001) and between 7 days and 1 month (p<.001). Fifty-five percent of infants were 14 days or less and forty-five percent were 15 days and more at the time of the procedure. Infant age at the time of frenotomy was not significantly correlated to breastfeeding scores or pain rating.
Conclusions: Frenotomy procedure may significantly improve IBAT and mothers's NRS in infants presenting with ankyloglossia and breastfeeding difficulties, regardless of the timing of the procedure. Ankyloglossia should always be examined in infants presenting with breastfeeding difficulties, and if detected, frenotomy may be considered by healthcare providers.
Dr. Shuang Liu, Interfaith Medical Center, Brooklyn, New York
Objectives: The purpose of this survey was to assess the current perceptions of Canadian medical
pediatric residents regarding their education in infant oral health.
Methods: Data was collected in collaboration with the Canadian Pediatric Program Directors’ (CPPD) research group. The CPPD relayed the survey electronically to all 625 Canadian medical pediatric residents in June of 2015.The questionnaire was an anonymous self-administered 17 question survey asking respondents the number of hours they received in oral health training, perceptions on their training, and comfort levels in assessing infant oral health. Five knowledge questions were included. Responses were analyzed using descriptive statistics in addition to statistical testing. Analysis was performed to determine whether demographic variables had an effect on whether
knowledge questions were answered correctly.
Results: 187 surveys were completed out of a total 625, achieving a response rate of 29.9%. 70.6% residents indicated receiving less than 1 hour of training on the oral health exam, 22.5% received between 1 to 2 hours of training, 5.3% received 2 to 4 hours of training and 1.1% residents received more than 4 hours of training. In response to the question of respondent’s perception of adequate training on the infant oral health examination, 4.8% agreed that they received adequate training. No respondents strongly
agreed with the statement, 11.2% strongly disagreed with the statement, 57.2% disagreed and 26.7% were neutral.
Residents comfort levels in performing an infant oral health exam were as follows: 10.1% very uncomfortable; 57.8% uncomfortable, 4.3% neutral; 5.9% comfortable; and 0.5% very comfortable. In response to the question of residents’ perception that oral health is an important component of overall health, 66.8% strongly agreed, 31.6% agreed, 1.1% were neutral, and 0.5% disagreed. Responses to whether the pediatrician plays an important role in ensuring adequate oral health were: 22.5% strongly agreed, 64.2% agreed, 11.8% neutral and 1.6% disagreed. Of those surveyed, 6.4% respondents correctly answered all five knowledge questions. The results to the knowledge questions are listed in Table 2. To allow for a better summary and analysis of data, demographic variables were placed into 2 groups and the mean of the coded scores in response to the 5 questions were compared.
Conclusion: There is a disconnect between the training currently received by pediatric residents and the knowledge base required to adequately aid in insurance of satisfactory oral health amongst the Canadian pediatric population.
Dr. Simrit Nijjar, University of Manitoba, Winnipeg, Manitoba
Objective: To examine differences in the usages and otherwise preferences of behaviour guidance techniques between Manitoban general and pediatric dentists when considering year of graduation, training locations, and source of training.
Methods: Surveys using SurveyMonkey were emailed via the Manitoba Dental Association to a random 25% sample of general dentists and all pediatric dentists (145 general dentists, 19 pediatric dentists) in Manitoba. Questions regarding type of dentist, year of graduation, place of undergraduate/graduate training, ranking of pharmacological and non-pharmacological behaviour guidance techniques, and sources of training of the techniques were created. Statistical analysis was performed using the statistical software in SAS 9.3 (SAS Institute Inc., Cary, NC, USA). The nonparametric test Wilcoxon Mann-Whitney test was performed on all data by considering all behaviour guidance techniques as continuous variables. Significance levels were considered at alpha <0.05 and at 95% confidence interval (CI).
Results: A total of 87 completed responses were collected (72 general dentists, 15 pediatric dentists). Statistically significant differences were found in voice control and oral sedation overall. In those that graduated before 1998, tell-show-do and oral sedation had statistically significant differences. For those that graduated after 1998, oral sedation and general anesthesia had statistically significant differences. The usage of voice control and the otherwise preference of oral sedation for those trained within Manitoba were found to be statistically significant between the general dentists and pediatric dentists. These findings although statistically significant were judged not to be of clinical significance as the rankings were usually within one number. For the source of training, pediatric dentists mainly chose undergraduate and graduate training as their main source for most behaviour guidance techniques while general dentists mainly chose undergraduate only as theirs. For both the general and pediatric dentists, the most favoured non-pharmacological technique was tell-show-do and the least favoured was protective stabilization. In the pharmacological groups, nitrous oxide sedation was most favoured and IV sedation was least favoured.
Conclusions: In general, there were few statistically significant differences in the usage and otherwise preference of behaviour guidance techniques between both general and pediatric dentists when considering the year, source, and location of training; however, there were some clinically significant findings. Overall, tell-show-do and nitrous oxide sedation were found to be the most favoured in their respective categories while protective stabilization and IV sedation were the least favoured in their respective categories for both general and pediatric dentists of Manitoba.
Dr. Becky Olacke, University of Washington Center for Pediatric Dentistry, Seattle, Washington
Objectives: Overweight and obese patients require special consideration because of physiologic differences. For such patients dosing sedation medications at actual weight may result in a relative overdose. Currently, there is no recognized dosing scalar for pediatric procedural sedation. This study examined the biophysical characteristics of pediatric dental sedation patients to determine the effect of child weight and the impact of medication dose on sedation success.
Methods: Records of pediatric dental sedations performed at a university-based dental clinic from Feb 2 2011 through Feb 1 2016 were reviewed. Healthy children aged 24 -144 months, who received an oral preparation of meperidine (1.5mg/kg), midazolam (0.3mg/kg), and hydroxyzine (1.0mg/kg) and whose treatment was supervised by the same attending pediatric dentist were included. Sedation dose was calculated using a simplified IBW dosing scalar, the lesser of actual weight or the Centers for Disease Control and Prevention (CDC) 50th weight for age percentile. Patient demographics and biophysical characteristics were recorded and used to calculate body mass index (BMI) percentiles. The sedation dose was compared with the child’s actual weight to determine if the dose delivered was therapeutic or sub-therapeutic. Sedation success was analyzed to determine association with dose received.
Results: The sample population consisted of 427 children (mean age = 76.8 months, SD = 21.6 months). The overall success rate, measured by the Houpt scale, was 74% (N=315). There was not a significant difference in success rate by gender, ASA status, insurance status, CDC BMI percentile for age, CDC weight for age percentile, or dose delivered. Older age category and simple treatment type were significantly associated with sedation success (P = 0.036 and P = 0.045 respectively). Chi-squared tests were used to evaluate the association between categorical variables and sedation outcome. The calculated ideal and lean body weights of the study participants were significantly greater than the dosing weight used (P < 0.001 and P < 0.001 respectively) and several patients in the upper quartile received sedation during the study period.
Conclusions: Patients in this study were on average heavier than the CDC 50th weight for age percentile. The results suggest that to avoid inadvertent sedation of overweight and obese patients BMI percentile should be considered in sedation case selection and dosing.