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Case Conference

Your Opinion: How would you manage this case?

This case is presented by Dr. Emad Girgis I have a 66-year old patient, male Caucasian. Although on medications, these are not contributing to any health complications. The patient had a bridge, done on combined mini implants and teeth, tooth #42had been extracted prior to this X ray due to root fracture . #34 was extracted from under the bridge due to fracture as well. The bridge has been there for about 3 years and the gingiva seems to be healthy around the implants; so, I am assuming there is good integration. #33 has a large periapical radiolucency due to poor RCT ...

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How would you manage this case: crown fracture with complicated chisel-type fracture?

This case was presented in the Dental Traumatology journal (December 2013). We are asking for your feedback on how you would treat this case. The full-text article will be added to the case on November 22nd, 2013. The Clinical Case A 24-year-old male patient came to The Department of Restorative Dentistry and Endodontics at the Dental Clinic in Vojvodina with dental injury of the maxillary left central incisor. The patient reported a sport injury that had occurred the night before during a football match. Clinical and radiographic examination revealed a complicated oblique crown fracture that extended subgingivally on the mesiopalatal ...

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How do I protect my patient medically, while safely providing the required treatment?

This case was submitted by Dr. Ron Kellen  Case Details Male patient, 55.  Diagnosed with AIDS in 2/2013 – at which time, CD4 count was 50. Now he says his CD4 count is 200. On Methadone (on-off for 10 years now). Ex heroin IV, and oxycontin, Percocet, etc. narcotics. On anti-convulsive for grand mal seizures. No more seizures since started medications. Smokes medical marijuana to increase his appetite. He is very underweight. On effective AIDS cocktail since Feb, 2013  Just finished thrush treatment of Nystatin swish & swallow (from G.P., not AIDS MD).  Still remnants clearly visible He has only ...

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How would you treat a patient with neuropathic orofacial pain?

This summary is based on the article published in the Journal of the American Dental Association: Dental treatment for patients with neuropathic orofacial pain (September 2013) Clinical Case A 56-year-old woman visited a dental office with acute dental pain in the left mandibular molar area. The treating dentist established a diagnosis of trigeminal neuralgia (TN) related to the left V3 branch, for which the patient was treated with nerve membrane–stabilizing anticonvulsants. The patient’s medical history included mild hypertension, hypothyroidism and intermittent low back pain for which she was being treated adequately by her physician.  The clinical examination revealed the left mandibular permanent first molar (tooth ...

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Case Conference Follow up: Exploring treatment alternatives for the unsatisfactory removable partial denture

Phase 2 of the Case Conference presented in collaboration with Dr. Bill Abbott from the International Team for Implantology (ITI)    A great number of dentists responded to questions related to the treatment challenge presented in this case. As we have committed to you, we are providing you with a summary of the responses received.   Responses to Question 1 Responses to Question 2 Responses to Question 3  View the Case video   Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca Your are invited to comment on this post and provide further insights by posting in the comment box ...

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Case Study 2: Exploring treatment alternatives for the unsatisfactory removable partial denture

We are pleased to present to you the second JCDA Oasis Case Conference, a new treatment challenge, in collaboration with Dr. Bill Abbott of the International Team for Implantology (ITI). Please view the short video (< 3 minutes) and anonymously submit your treatment suggestions, comments/feedback, and clinical questions online before March 16th, 2013. After March 16, Dr. Abbott and a specialist colleague will present a video SOLUTIONin which they answer the main questions raised by you and other colleagues and they tell us how the case was actually treated.  At that time, you will also be able to see the summary input of your colleagues. As ...

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How was that case with the missing 2.2 treated?

Last month, JCDA OASIS and ITI, initiated Phase 1 of a joint treatment planning challenge pilot project. Just over 100 colleagues had agreed to participate in this exercise and many gave us feedback on a completely anonymous basis. For Phase 2 of the project, We have placed links below to a representative sample of the inputs we got from over 50 Canadian dentists to the following 3 principal questions: Q 1: What further information is needed to create a treatment plan?  Question 1 Input Q 2: What range of options would you present to the patient?  Question 2 Input Q 3: ...

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