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Author Archives: JCDA Oasis

JADA Article Commentary: Dental Disease Before Radiotherapy in Patients with Head & Neck Cancer

In December 2017, the Journal of the American Dental Association (JADA) published an article on guidelines for preventive dental care. In it, the authors attempted to bridge a perceived knowledge gap through the development of a clinical registry of dental outcomes in head and neck cancer patients.  Dr. Bob Wood, oral radiologist and forensic dentist at Princess Margaret Cancer Center, suggests that the article needs a careful interpretation and an appropriate contextualization of the individualized treatment provided to these patients.  I hope you find the information beneficial and you will share your thoughts, suggestions, and questions with us through oasisdiscussions@cda-adc.ca ...

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The Virtual Dental Home: A Vision to Facilitate Access to Oral Health Care

Access to oral health care services is a global challenge. One program is leveraging the ease of technology use to facilitate access to populations that would otherwise be deprived.  Drs. Paul Glassman and Andrew Tseu joined me in this interview to speak about the Virtual Dental Home program that was developed by Dr. Glassman and has been implemented by the Hawai’i State Department of Health under the oversight of Dr. Tseu. The program has proven very successful and is now extending from the Big Island of Hawai’i to the island of Maui.  It is always encouraging to know that there ...

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What is Acculturation & How Does it Impact Pediatric Minority Oral Health Interventions?

Dr. Tamanna Tiwari recently published a review of studies that looked at how the process of acculturation enhances or inhibits oral health and oral healthy intervention in children. She kindly accepted to do an interview with me in which she further explained the concept and its importance.  Dr. Tiwari is Assistant Professor in the Department of Community Dentistry and Population Health at the University of Colorado’s School of Dental Medicine. As usual, if you find the information valuable, let us know! Share your thoughts, questions, and suggestions with us through oasisdiscussions@cda-adc.ca Until next time! Chiraz Guessaier CDA Oasis Manager Highlights For ...

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What is the Clinical Relevance of Bond Strength?

Dr. Rick Carvalho is Professor in the Department of Biomaterials at the University of British Columbia. He joined me to speak about the relevance of laboratory research on bond strength and how it translates into clinical practice. Oftentimes, the durability of adhesive restorations is estimated from laboratory bond strength testing, and there is an equivocal assumption that higher bond strength indicates longer survival in the clinic. However, there are several and significant limitations to such association that need to be understood before relevant predictions can be made. I hope the interview sheds some light on questions that you might have ...

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Oasis Critical Moments: What would you have done in this situation?

In this post, we present an Oasis Critical Moment, a crossroad moment that arise every day in clinical practice and where the decision the practitioner takes, can make the difference between grief for him/her and the patient, or comfort for all concerned.  We have invited Dr. Bob Wood and Dr. Erin Watson to guide the management of this case. Dr. Bob Wood is an oral radiologist and forensic dentist; and Dr. Erin Watson is a general dentist, and they both practice out of Princess Margaret Cancer Center in Toronto.  Imagine this scenario You are performing a fairly routine denture try-in ...

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The McGill Qualitative Health Research Group: Advocating for the Qualitative Approach

I had the great pleasure of meeting Dr. Mary Ellen Macdonald, Associate Professor in the Division of Oral Health and Society Research in the Faculty of dentistry at McGill University and the founder of the McGill Qualitative Health Research Group (MQHRG).  The qualitative approach to biomedical and oral health research has for a long time been stigmatized as a soft or less rigorous research approach. However, today, researchers are realizing the inability of many quantitative methods to answer complex research questions, in particular if used as stand-alone methods.  Dr. Mary Ellen Macdonald founded the McGill Qualitative Health Research Group as a safe space ...

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The Prevention and Management of Medication Related Osteonecrosis of the Jaw: Two Cases

Today, we bring you two interesting complex cases that were treated by Dr. Erin Watson, general dentist practicing out of Princess Margaret Cancer Center, and Dr. Irwin Golosky, Endodontist in Toronto.  Both cases deal with patients who are at higher risk for medication related osteonecrosis of the jaw (MRONJ). Educational information is also presented to frame the situation and provide relevance to the general dentist. In cases where it is possible to prevent MRONJ, treatment is somewhat straightforward. However, in other cases where there is already a risk of MRONJ, treatment is challenging and requires the tight collaboration of a ...

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Is There a Link Between Poor Oral Health and Physical Frailty in Older Men?

Dr. Sheena Ramsey, Clinical Senior Lecturer in the Institute of Health and Society at Newcastle University, is the coauthor of a study that looked into identifying the link between poor oral health and physical frailty in a group of older British men. Although the link between poor oral health and good levels of nutrition seems obvious, it is important to seek evidence that proves such association. The cross-sectional and longitudinal study they conducted followed a cohort of older British men as part of the British Regional Heart Study. As usual, our hope is that the content is beneficial to you ...

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