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Author Archives: JCDA Oasis

How much time is lost due to dental problems and treatment in Canada?

This abstract is presented by the JCDA Oasis Team from the article published in the BMC Oral Health open-access journal: Time loss due to dental problems and treatment in the Canadian population: analysis of a nationwide cross-sectional survey Authors Alyssa Hayes, Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto Amir Azarpazhooh, Assistant Professor, Dental Public Health, Faculty of Dentistry, University of Toronto Laura Dempster, Assistant Professor, Dept of Biological and Diagnostic Sciences, University of Toronto Vahid Ravaghi, Oral Health & Society Research Unit, Faculty of Dentistry, McGill University Carlos Quiñonez, Assistant Professor and Program Director, Dental Public Health, ...

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How can you deliver effective oral hygiene instruction to children with autism?

This question was submitted by a general dentist: “How can we deliver effective oral hygiene instruction to children with autism?” Dr. John O’Keefe, Director of Knowledge Networks at CDA interviewed Dr. Clive Friedman,  past President of the International Association for Disability and Oral Health (IADH) and current member of IADH Education Committee Understanding your patient is crucial The key to success in treating an autistic child is to follow an approach based on understanding the patient, not only in terms of their diagnosed condition, but also of their psychosocial environment. It is important to understand where a child fits on ...

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Are there any trials to inform the treatment of displaced luxated permanent teeth?

This review summary is adapted from The Dental Elf blog post on May 1st 2013: Cochrane Review finds no trials to inform the treatment of displaced luxated permanent teeth Cochrane Authors’ Conclusion “We found no randomised or quasi-randomised trials of interventions to treat displaced luxated permanent front teeth. Current clinical guidelines are based on available information from case series studies and expert opinions. Randomised controlled trials in this area of dental trauma are required to robustly identify the benefits of different treatment strategies.” To read the post and review the review sources, click here   The Cochrane Collaboration Cochrane Reviews ...

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How do I treat a patient with hemophilia?

This Medical Condition Consult is presented by the JCDA Oasis Team. It is also available through the Oasis Help system Our sincere thanks go to the MDs who developed and reviewed this medical consult.  Hemophilia is a hereditary bleeding disorder caused by low factor VIII coagulant activity (hemophilia A) or low levels of factor IX coagulant activity (hemophilia B). Both forms have an X-linked recessive pattern of inheritance. Men are usually affected. Women are carriers. Hemophilia Severity Classification Mild: No spontaneous bleeding; delayed onset of bleeding after trauma, surgery, or dental extractions (6%–49% of the normal clotting factor). Moderate: Bleeding with minor ...

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Culture clash? Pediatric dental practice in the age of helicopter parenting

May 3rd, 2013 marks the 100th anniversary of the department of dentistry at the Hospital for Sick Children (SickKids). A full-day educational symposium with notable speakers is planned, including Dr. Ed Barrett, staff pediatric dentist at the hospital.     Dr. John O’Keefe sat down with Dr. Barrett and spoke about dentistry in the age of helicopter parenting. The interview  tackled questions, such as: How is the helicopter parenting concept defined? What are the implications of a culture clash for general practitioners? Is the helicopter parent a guilty parent, when there is dental disease?   Main points The most important relationship you have ...

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How do I manage a patient suffering from a spontaneous gingival hemorrhage?

This Urgent care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Hagen Klieb. The USC is also available through the Oasis Help system A patient presents with copious gingival bleeding: Bleeding is prolonged and cannot be stopped with pressure Several such episodes have occurred recently without provocation   Suggested Resources Nematullah A, Alabousi A, Blanas N, Douketis JD, Sutherland SE. Dental surgery for patients on anticoagulant therapy with warfarin: a systematic review and meta-analysis. J Can Dent Assoc. 2009;75(1):41. Gupta A, Epstein JB, Cabay RJ. Bleeding disorders of importance in dental care and related patient management. J Can Dent Assoc. 2007;73(1):77-83.    Do you need further information ...

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How do I manage a necrotic tooth with unstoppable drainage?

This Urgent Care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Brian Jafine. The USC is also available through the Oasis Help system   Suggested Resources Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J. 1995;28(5):261-5. Morse DR, Koren LZ, Esposito JV, Goldberg JM, Belott RM, Sinai IH, et al. Asymptomatic teeth with necrotic pulps and associated periapical radiolucencies: relationship of flare-ups to endodontic instrumentation, antibiotic usage and stress in three separate practices at three different time periods. Int J Psychosom. 1986;33(1):5-87. Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. ...

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Is your patient on barbiturates?

This Post is adapted from the Canadian Pharmacists Association (CPhA) Drug Monograph: Barbiturates Barbiturates Product Summary Information   Barbiturates are nonselective central nervous system (CNS) depressants, capable of producing all degrees of depression from mild sedation and hypnosis to general anesthesia, deep coma and death. The extent of CNS depression varies with the route of administration, dose and pharmacokinetic characteristics of the particular barbiturate. Patient-specific factors such as age, physical or emotional state and the concomitant use of other drugs will also affect response. Indications Barbiturates have been used parenterally in the management of status epilepticus or acute seizure episodes ...

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