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Oral Medicine

How accurate, clinically effective, and cost-effective are light-based screening techniques for the early detection of oral cancer?

By Lieutenant-Colonel Jean Pierre Picard Lieutenant-Colonel Jean-Pierre Picard is a Periodontist of the Canadian Armed Forces. He is currently the Deputy Commanding Officer of 1 Dental Unit and the Royal Canadian Dental Corps Periodontics Practice Leader. Lieutenant-Colonel Picard is also an examiner for the National Dental Specialty Examination in Periodontics of the Royal College of Dentists of Canada, the Treasurer of the Canadian Academy of Periodontology (CAP), and the CAP representative to the Canadian Dental Specialties Association. Dentists are, by way of formal education and expertise, the health care providers best equipped to detect abnormalities of the oral cavity and ...

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Tips on assessing patients with orofacial pain and temporomandibular disorders

This summary is based on the article published in the Dental Clinics of North America: Clinical assessment of patients with orofacial pain and temporomandibular disorders (October 2013) Key points Accurate diagnosis of chronic pain disorders of the mouth, jaws, and face is frequently complex because there are multiple structures localized in 1 small anatomic region that can be a source of painful sensations. Pain can originate from multiple structures including teeth, sinus, eye, nerves, blood vessels, temporomandibular joint, and masticatory muscle sources.  It is common for patients with chronic orofacial pain to consult multiple clinicians and receive an incorrect diagnosis and receive ineffective treatment ...

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What are some of the clinical approaches to oral mucosal disorders?

This summary is based on the Preface article published in the Dental Clinics of North America: Clinical Approaches to Oral Mucosal Disorders (October 2013) Dr. P. Sollicito, DMD, FDS, RCSEd Dr. Eric Stoopler, DMD, FDS, RCSEd Oral health and disease are intimately related to general health status. Clinicians understand that the oral cavity does not exist in isolation, but as an integral component of the human body. The oral cavity and peri-oral region consist of various tissues that are not unlike other organ systems, including mucous membranes, nerves, ligaments, and bone. The oral cavity is perhaps more intricate than other areas because, in addition ...

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Efudex: Should it be prescribed by dentists?

This question was submitted by a general dentist: When discussing sun damage to lips, a couple of patients indicated that their physician prescribed Efudex. There is apparently no follow-up by the physician and no indication to the patients as to what the desired outcome of the said treatment should be. Should dentists be prescribing this medication and what would the appropriate follow-up and regimen be with this chemotherapeutic agent? Dr. Mark Donaldson provided the following initial and quick response Dr. Mark Donaldson is Director of Pharmaceutical Services at the Kalispell Regional Medical Center,  Clinical Professor in the Department of Pharmacy at ...

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What are the clinical considerations for dental implant therapy in irradiated head and neck cancer patients?

This summary is based on the article published in the Journal of Prosthodontics: Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients (August 2013) Context An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant-supported dentures are a viable option when patients cannot use conventional dentures due to adverse effects of radiation therapy, including oral dryness or fragile mucosa, in addition to compromised anatomy. However, negative effects of radiation, including osteoradionecrosis, are well documented in the literature, and early loss of implants in irradiated ...

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What should you tell your patient about quitting smoking?

This fact sheet is courtesy of the Centers for Disease Control and Prevention: Smoking and Tobacco Use PDF version  Do you have any particular question on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca You are invited to comment on this post and provide further insights by posting in the comment box which you will find by clicking on “Post a reply“ below. You are welcome to remain anonymous and your email address will not be posted.  

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Are there adverse drug reactions to local anesthetics?

This summary is based on the article published in the Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology journal: Adverse drug reactions to local anesthetics: a systematic review (March 2013) Context  Local anesthetics (LAs) are widely used, especially in oral and ophthalmologic treatments. The types, doses, means of administration of LAs, and combined drugs are the main factors that could induce adverse drug reactions. Purpose of the Review Analyze adverse drug reactions (ADRs) associated with local anesthetics (LAs) and to characterize the safety profile of LAs in clinical application. Results A total of 922 articles were retrieved, and 101 of them, containing 1,645 events, ...

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Are there any interventions for treating oral lichen planus?

This summary is based on the Cochrane Review: Interventions for treating oral lichen planus (July 2011)   Context Oral lichen planus (OLP) is a common chronic autoimmune disease associated with cell-mediated immunological dysfunction. Symptomatic OLP is painful and complete healing is rare. It is a condition where there are long-term, painful areas on the lining of the mouth. The treatment is for reducing pain but there is no cure for this disease. Usual treatment is steroid ointment applied directly to the painful areas. This review found no research evidence to show that one type of steroid is better or worse than another. ...

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