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Dental Emergencies

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Challenging historical dogma: should you really have epinephrine autoinjectors in your emergency kit?

Dr. Mark Donaldson, Senior Executive Director Pharmacy Advisory Solutions for Vizient, is the author of an article that was published in General Dentistry: Challenging historical dogma: should you really have epinephrine autoinjectors in your emergency kit? (November 2016). He spoke with Dr. Chiraz Guessaier about issues related to autoinjectors and the essentials of the dental emergency kit. Read the full article (PDF) Highlights Hospitals, clinics, emergency responders, and even dental offices are beginning to question the historical dogma: Are epinephrine autoinjectors truly essential in emergency kits? There is general agreement among oral healthcare practitioners as to the essential medications in emergency medical ...

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Improving the Quality of Dental Trauma Care: Two Cases

Dr. Raymond Lee, Chief of Dentistry at the London Health Sciences Centre, spoke with Dr. John O’Keefe about some common mishaps occurring when treating children with traumatic dental injuries. Highlights Dr. Lee has learned from experience that assumptions can sometimes lead to increased pain and less desirable outcomes for young patients. Dental trauma, including fractured teeth, are frequent in young children that have not gained their balance when learning to walk for example. As such, these young children will present frequently with injuries ranging from slight extrusion to complete avulsion of the teeth as the primary teeth have short roots and ...

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Electronic cigarette explosions involving the oral cavity

Dr. Rebecca Harrison, private dentist in South Carolina, spoke with Dr. Chiraz Guessaier about a case she recently treated and published in the Journal of the American Dental Association: Electronic cigarette explosions involving the oral cavity (November 2016).   Highlights The use of electronic cigarettes (e-cigarettes) is a rapidly growing trend throughout the United States. E-cigarettes have been linked to the risk of causing explosion and fire. Case Description Data are limited on the associated health hazards of e-cigarette use, particularly long-term effects, and available information often presents conflicting conclusions. In addition, an e-cigarette explosion and fire can pose a unique ...

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A Prototype Mobile Application for Triaging Dental Emergencies

Corey Stein, developer of a new mobile app to triage dental emergencies, spoke with Dr. Chiraz Guessaier about this new application. Highlights Evidence suggests that dental emergencies are likely to occur when preferred care is less accessible. Communication barriers often exist that cause patients to receive suboptimal treatment or experience discomfort for extended lengths of time. Furthermore, limitations in the conventional approach for managing dental emergencies prevent dentists from receiving critical information before patient visits. The authors developed a mobile application to mediate the uncertainty of dental emergencies. The development and study consisted of a needs analysis and quality assessment of ...

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The Dental Office Medical Emergency Kit

Dr. Joonyoung Ji, Dental Anesthesia specialist in Ottawa, provides useful and important information about the must haves in the dental office medical emergency kit.  Highlights Emergency kits are a necessity in every dental office but, there are basic elements practitioners must consider. Kits must be easily accessible Kits must be stocked appropriately and organized An action plan should be in place and the team should know how to administer the medications Expiration dates and reordering information should be kept handy The RCDSO mandates that all dental offices have 6 emergency drugs available in each office: Oxygen Epinephrine Salbutamol (Ventolin) Nitroglycerine ...

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A review of splinting of teeth following trauma

This summary  is based on the article published in the Australian Dental Journal: Splinting of teeth following trauma: a review and a new splinting recommendation (March 2016) B Kahler; J-Y Hu; CS Marriot-Smith; GS Heithersay Context  With advances in the understanding of healing processes of the periodontium, pulp and alveolar bone following various injuries, the role of splinting has become relatively well defined. This is generally reflected in the guidelines for trauma management published by the International Association of Dental Traumatology. While the widespread use of composite resin as an adhesive in various functional/flexible splinting systems has over many years allowed ease of application, removal of the ...

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How to assess and manage bone fractures?

This summary is based on the article published in the Australian Dental Journal: Bone fractures: assessment and management (March 2016) L Lim; P Sirichai Context Severe dental traumatic injuries often involve the supporting bone and soft tissues. These bone fractures often present with a combination of other dental injuries such as luxation, avulsion and tooth root fractures.1 Purpose of the Article Present an overview of current concepts in the management of dentoalveolar fractures to assist the general dental practitioner in the overall understanding of dental trauma. Key Points Bone Fractures2 Comminution of the alveolar socket: crushing of the bone, usually associated with intrusive or lateral luxation. Fracture of the ...

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Are obese children at risk of traumatic dental injuries?

This summary is based on the article published in Dental Traumatology: Are overweight/obese children at risk of traumatic dental injuries? A meta-analysis of observational studies (August 2015) Patrıcia Correa-Faria, Stefano Petti Context Overweight/obese subjects are at higher risk to develop several chronic diseases, such as diabetes, cardiovascular diseases, musculoskeletal disorders, and some forms of cancer 1. Overweight/obesity may also affect oral health, as it is statistically associated with dental caries 2, periodontal disease 3, oral cancer 4, and, possibly, traumatic dental injuries (TDI) 5–7. The association between overweight/obesity and TDI has been investigated through cross-sectional and cohort studies with controversial ...

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