Royal College of
Dental Surgeons of Ontario
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Positions and Special Initiatives

We have developed position statements on issues that affect the practice of dentistry in Ontario. These statements describe work with other health professionals, organizations and key stakeholders on blood borne viral infections, dental amalgams, water fluoridation and the management of pain in dental practice.

Dental Amalgams

We consider dental amalgam a safe, useful and necessary part of the restorative materials available to Ontario dentists and their patients. Removing existing sound amalgam fillings is not justified in patients who do not have adverse health effects attributable to mercury exposure. Read our policy statement

Water Fluoridation

We support the fluoridation of municipal drinking water as an important approach to oral health promotion and disease prevention. RCDSO joins the Canadian Dental Association in affirming its support for fluoridation of municipal water supplies as an effective means of reducing dental caries in all age groups. Read our policy statement

Blood Borne Viral Infections

We supported the efforts of a working group developed to understand the risks to patients of contracting blood borne viral infections from dentists and the appropriate approach dentists should take to prevent such risks. The Department of Medicine, University of Alberta, the Faculty of Dentistry, University of Toronto, and the Department of Medicine, University of Toronto contributed to the development of the report.

Management of Pain in Dental Practice

The excessive use of prescription narcotics and controlled substances has emerged as a public health and safety issue here in Canada, in the United States and other jurisdictions around the world. In 2011 the College hosted a symposium on this issue, and in 2015 we developed guidelines on The Role of Opioids in the Management of Acute and Chronic Pain in Dental Practice. The College received prescription dispense data for the calendar years 2014, 2015 and 2016. These were analyzed to assess the level of opioid prescribing by dentists, changes to prescribing patterns over the years and the impact of the Guidelines. The College produced a report on the findings