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Author Archives: JCDA Oasis

What is my role as a dentist in managing patients with obstructive sleep apnea syndrome?

This summary is based on the position paper published by the Canadian Sleep Society on the role of dentistry in managing obstructive sleep apnea: Position paper by Canadian dental sleep medicine professionals regarding the role of different health care professionals in managing obstructive sleep apnea and snoring with oral appliances Full Text (PDF) Context The present Canadian position paper contains recommendations for the management by dentists of sleep-disordered breathing in adults with the use of oral appliances (OAs) as a treatment option for snoring and obstructive sleep apnea (OSA). The recommendations are based on literature reviews and expert panel consensus. OAs offer an effective, ...

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Are current caries risk-assessment systems predictive of future caries?

This Systematic Review Summary is adapted from the British Evidence-Based Dentistry Journal Summary html Summary PDF Clinical Question Are current caries risk assessment systems predictive of future caries? Context The identification of high risk individuals to allow both prevention and intervention based on susceptibility to disease is commonplace in contemporary treatment planning. A systematic review of the literature by Harris et al in 2004 found ‘106 risk factors significantly related to the prevalence or incidence of caries’2. In general caries risk assessment systems standardise the risk factor information collected in order to predict potential caries outcome for the patient. Results ...

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What is a primary tooth concussion and how do you deal with it?

This post is an adaptation of the Concussion article found in the Dental Trauma Guide Concussion is an injury to the tooth-supporting structures without increased mobility or displacement of the tooth, but with pain to percussion and without gingival bleeding.   Etiology   Diagnosis Description: An injury to the tooth-supporting structures without increased mobility or displacement of the tooth, but with pain to percussion and without gingival bleeding. The diagnostic signs of concussion are transient. It is therefore not possible to diagnose concussion if the examination is done several days after injury. Visual signs: Not displaced. Percussion test: Tender to touch or tapping. ...

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Would you like to know more about managing patients with obstructive sleep apnea syndrome?

The Canadian Sleep Society is going to hold its bi-annual scientific meeting in Halifax October 4-6, 2013. One focus of this meeting will be on the role of dentistry in managing patients with obstructive sleep apnea syndrome. The following presentations should be of interest to those clinicians in the dental profession who would like to be involved in the care of sleep apnea patients. Pathophysiology of Obstructive Sleep Apnea Syndrome How to Diagnose Obstructive Sleep Apnea Syndrome The Role of the Physician and Dentist in Identifying Patients Who Should be Screened for Obstructive Sleep Apnea Treatment Options for the Sleep ...

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When do you really need to prescribe a fluoride complement for your patients?

The following question was submitted by a general dentist: Our patients can no longer purchase Oral B Fluorinse. Does anybody have an alternative daily and weekly fluoride rinse they can recommend? This initial quick response is presented by Dr. Getulio Nogueira, from the Faculty of Dentistry at the University of Toronto in collaboration with experts: Dr. Walter Siqueira (Western University, Canada) and Dr. Jaime Cury (Faculty of Dentistry, UNICAMP, Brazil) Clinical Question When do you really need to prescribe a fluoride complement for your patients? The Fact It has been confirmed that Oral B Fluorinse is no longer available in Canada. Since ...

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Video Procedure: What is root canal therapy?

This video procedure is available on the Dental Procedure Education System (DPES) of the Faculty of Dentistry at the University of Toronto The video was developed by Dr. Karina Roth Context When the pulp is injured or diseased and is unable to repair itself, it becomes inflamed and will eventually become necrotic (i.e., dead). Root Canal Therapy must, therefore, be instituted in order to avoid the spread of inflammation and infection to the tissues surrounding the diseased tooth. Take appropriate radiographs. Perform the necessary tests to verify the offending tooth and establish an accurate diagnosis: The cold test The electric ...

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How do I manage persistent idiopathic facial pain?

This Urgent Care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Gary Klasser. The USC is also available on Oasis Help Definition Constant, unremitting pain (often perceived within deep tissues) presenting extraorally and/or intraorally with variable and fluctuating intensity. Also known as continuous neuropathic orofacial pain (formerly known as atypical odontalgia, atypical facial pain or phantom tooth pain).   Resources De Leeuw R, editor. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. 4th ed. Chicago: Quintessence Publishing; 2008. Sharav Y, Benoliel R, editors. Orofacial Pain and Headache. 1st ed. Edinburgh: Elsevier Limited; 2008. Moulin DE, Clark AJ, Gilron I, Ware MA, Watson CP, Sessle BJ, ...

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What is enamel-dentin-pulp fracture and how is it treated?

This post is an adaptation of the Enamel-dentin-pulp fracture article found in the Dental Trauma Guide A fracture involving enamel and dentin with loss of tooth structure and exposure of the pulp.   Etiology   Diagnosis Description: A fracture involving enamel and dentin with loss of tooth structure and exposure of the pulp. Visual signs: Visible loss of enamel and dentin and exposed pulp tissue. Percussion test: Not tender. If tenderness is observed evaluate the tooth for luxation or root fracture injury. Mobility test: Normal mobility. Sensibility test: Usually positive. The test is important in assessing risk of future healing complications. A lack of response at ...

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