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Oral Radiology

Which CBCT unit is right for my dental office?

This series of posts is based on Dr. John O’Keefe’s conversation with  Dr. David MacDonald about cone beam computed tomography (CBCT). 

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What are the pathologic bone alterations in celiac disease?

This summary is basedon the article published in Nutrition: Pathologic bone alterations in celiac disease: Etiology, epidemiology, and treatment (January 2014, Supplement) Context  Low bone mineral density (BMD), osteopenia, and osteoporosis are frequent complications of celiac disease (CD). The etiology of pathologic bone alterations in CD is multifactorial; however, two main mechanisms are involved: intestinal malabsorption and chronic inflammation. A strict gluten-free diet (GFD) is thought to be the only effective treatment for CD; but treating bone complications related to CD remains complex. Purpose of the Review The review attempts to elucidate the bones problems related to CD and to increase awareness of osteoporosis development, considered ...

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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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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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How useful is three-dimensional imaging in predicting a positive outcome for intentional tooth replantation?

This abstract is presented by the JCDA Oasis Team from the article published in the Journal of Oral Sciences (Open Access): The usefulness of three-dimensional imaging for prognostication in cases of intentional tooth replantation Authors Hiroaki Kabashima, Section of Periodontology, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan Kunitaka Mizobe, Section of Periodontology, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan Takako Sakai, Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan Hiroyoshi Nakamuta, Private Practice, Fukuoka, Japan Kenichi Kurita, Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, ...

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Case Solution: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here You can view the Case Follow up here Case Solution Periapical osseous dysplasia (formerly known as periapical cemental dysplasia or PCD) is classified as a bone dysplasia, in which normal cancellous bone is replaced by a combination of abnormal, disorganized bone and fibrous connective tissue. In periapical osseous dysplasia, the mineralized component of ...

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Case Follow-up: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here. Case Follow-Up Four implants were placed in the anterior mandible. Following implant surgery, the patient experienced persistent pain in the implant area and two of the implants failed in the immediate post-operative period. Over the course of the following year, the pain progressively worsened in the anterior mandible and the patient was subsequently ...

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To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon,  Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. Check the case follow-up: Click Here A 72-year old female patient of African-American descent presented to an Oral and Maxillofacial Radiology clinic for pre-operative dental implant imaging.  Cone beam CT examination yielded the following images: Axial cone beam CT cross-sectional image at the level of the mandibular alveolar process Rendered panoramic reconstruction from cone beam CT data set Bucco-lingual cone ...

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