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Issues & People

From the trenches: Why use a blood pressure cuff?

This case was submitted by Dr. Ron Kellen Four months ago, I had a walk-in emergency, male patient, age 32, suffering from a “terrible toothache.” His medical questionnaire was clean except for “a bit of blood pressure, but no problem and no medications.” He was husky, maybe 10 pounds overweight, clearly in fear of the ‘dentist experience.’ He pointed to tooth 13, very carious and fractured off at mid crown. The patient indicated that it hurt a lot at the top of the tooth and that he wanted to extract the tooth. Upon examination, I could see other obvious decay ...

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View from the Chairside: What are the benefits of listening in on each others’ discussions with patients?

By Dr. Joel Antel Dr. Joel Antel is a general dentist in Winnipeg, Manitoba. He graduated from the University of Manitoba, Faculty of Dentistry in 1979. Dr. Antel has written, consulted and lectured on practice management / patient communications and is the chair of the Manitoba Dental Association Communication Committee. The dentists in our office have found it helpful to listen in on each other’s discussions with patients. In cases which involve multiple treatment options, which require extensive treatment, or cases where the patient’s level of dental knowledge suggests a need for extra explanation, a discussion with the patient takes ...

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Super Dentistry: How to increase efficiency and productivity in general dentistry?

This summary is based on the article published by Dental Economics: Increasing efficiency and productivity in general dentistry (October 2013) By Dr. Guy Gross “Super” dentistry: “By offering patients expanded options, we go above and beyond the usual scope of general dentistry, striving toward our goals of clinical excellence while keeping patients in-house and increasing productivity.” “We use cone beam 3-D imaging to help us reach our goals with increased precision and confidence.” It offers a thorough analysis of bone structure, bone volume, and tooth orientation. For implants, software allows to see if the implant can be placed in its optimal ...

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From the trenches: How to “dodge the bullet” and make the right diagnosis?

This case was submitted by Dr. Ron Kellen  This situation occurred about 20 years ago. My office was in a plaza, on the second floor, requiring 26 steps to access it, with no elevator. At about 2 PM on a weekday, a 60-year-old male patient presented in our office as an emergency case with a terrible toothache. He pointed to his broken 35. On his medical questionnaire, he indicated that he had a little bit of high blood pressure and that he sometimes would get out of breath. He was taking medication once a day for blood pressure, but he ...

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View from the Chairside: how do you gauge a successful new patient emergency visit?

By Dr. Joel Antel Dr. John O’Keefe, CDA Director of Knowledge Networks, sat down with Dr. Joel Antel, to discuss what he considers to be a successful new patient emergency visit. Dr. Joel Antel is a general dentist in Winnipeg Manitoba. He graduated from the University of Manitoba, Faculty of Dentistry in 1979. Dr. Antel has written, consulted and lectured on practice management/patient communications and is the chair of the Manitoba Dental Association Communication Committee. Read the full transcript of the interview (PDF) Listen to audio interview Overall Indications Address the patient’s reason for the emergency visit. Establish a strong relationship ...

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New CDA Position Statement on Dental Patients with Total Joint Replacement

In June 2013, CDA adopted a new position statement on dental patients with total joint replacement. The Committee on Clinical and Scientific Affairs (CCSA) reviewed clinical evidence, including a thorough systematic review of the literature conducted by the American Dental Association (ADA) and the American Academy of Orthopedic Surgeons (AAOS) which was conducted in 2011. Preamble The issue of whether patients with orthopedic implants, primarily total hip and knee replacements, are prone to implant infection from routine dental procedures via hematogenous seeding of the implant from dental-procedure-related bacteremia has been a controversial topic for dentists, physicians and patients alike. Background ...

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View from the Chairside: Sharing my experience on Oasis Discussions

By Dr. Matt Gilchrist Dr. Matt Gilchrist is a general dentist in Charlottetown, PE. He graduated from Dalhousie University, Faculty of Dentistry, in 2008 and holds a Bachelor of Science degree from St. Francis Xavier University (2004).  Dr. Gilchrist resides in Stratford, PE with his wife and newborn daughter. Posting my clinical case presentation on the JCDA Oasis Discussions website has been more valuable than I could have ever imagined.  Last week I posted a case regarding wear/erosion on a deciduous tooth and the responses have been overwhelming.  The exact etiology was unclear to my local colleagues and I; although we had ...

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View from the Chairside: October, Healthy Workplace Month

By Dr. Lesia Waschuk Dr. Waschuk is a Toronto dentist with a certificate in creative writing and an interest in narrative medicine, which is the discipline and practice of writing about illness and recovery and the health care encounter from both the provider’s and the patient’s point of view. In this space, Lesia will be writing about wellness and sharing articles and links to resources on health-related topics.   Did you know that October 10 is World Mental Health Day? And that October is Healthy Workplace Month? The slogan for this national initiative is Workplace Wellness Fosters Healthy Minds. The tagline for week 2 is ...

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