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Oral Surgery

What are the dentists’ responsibilities when providing human allogeneic transplants or allografts to their patients with respect to Health Canada regulations?

This question was submitted by a general dentist: What are the dentists’ responsibilities when providing human allogeneic transplants or allografts to their patients with respect to Health Canada regulations? The response is based on the CDA Guidance Document for Dentists Provinding Human Allogeneic Transplants. Context Many dentists routinely use a wide range of transplant products during surgeries, including autograft, allograft, xenograft and alloplastic products. In April 2009, the Health Products and Food Branch of Health Canada adopted a document titled Guidance Document for Cell, Tissue and Organ Establishments – Safety of Human Cells, Tissues and Organs for Transplantation based on regulations ...

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How effective are periodontal plastic surgery procedures in the treatment of localized facial gingival recessions? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review (April 2014) Cairo F, Nieri M, Pagliaro U.     Context The treatment of gingival recessions with periodontal plastic surgery procedures is possible request in modern dentistry (1). The ultimate goal of these procedures is the complete root coverage (CRC) and pleasant aesthetic outcomes (2, 3). Purpose of the Review The aim of this Systematic Review was to assess the clinical efficacy of periodontal plastic surgery procedures in the ...

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What are the outcomes of auto-transplanted teeth with complete root formation? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Outcomes of auto-transplanted teeth with complete root formation: a systematic review and meta-analysis (April 2014) Chung W-C, Tu Y-K, Lin Y-H, Lu H-K. Courtesy of Wiley Publishing, access the full-text article for the next three months here Context Unlike an immovable osseointegrated dental implant, tooth auto-transplantation provides vital periodontium and continuous skeletal growth (1). Many factors could influence the longevity of and incidences of complications with tooth auto-transplantation and failure rates (FRs) reported in the literatures are not identical. Incidences of infection-related root resorption and ankyloses ...

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What are the local and systemic interventions for the prevention of dry socket? An evidence-based update

This summary is based on the article published in the British Dental Journal: Interventions for the prevention of dry socket: an evidence-based update (July 2014) M. O. Sharif, B. E. S. Dawoud, A. Tsichlaki and J. M. Yates       Context Infection control and knowledge of common infectious agents is a cornerstone of safe dental practice. Alveolar osteitis (AO) or ‘dry socket’ is a relatively common post-operative complication that is reported to be associated with up to 37% of dental extractions. (1) The condition develops when a blood clot fails to form or becomes dislodged from the socket of ...

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Diagnosis and Treatment of the BRONJ Case

Revisit the Case Presentation and Clinical Evaluation This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  We would like to thank all our dentists who submitted their responses to the diagnosis and treatment challenge. Case Diagnosis The Clinical diagnosis was bisphosphonate-related osteonecrosis of the maxilla. Treatment The patient’s oncologist discontinued the ZA therapy. The patient was evaluated by an oral and maxillofacial surgeon who recommended surgical debridement of the affected areas and the patient underwent the procedure five months after cessation ...

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What’s the most effective way to surgically remove mandibular wisdom teeth?

This is a summary of the Cochrane Systematic Review: Surgical techniques for the removal of mandibular wisdom teeth (Review, 2014) Coulthard P, Bailey E, Esposito M, Furness S, Renton TF, Worthington HV Full-text of the Systematic Review (PDF) Summary of the Systematic Review  Context This research assesses the benefits and harms of the different ways to surgically remove wisdom teeth from the lower jaw. Removing wisdom teeth is one of the most common operations in dental surgery. Various techniques have been developed to carry this out, but which is the most effective? The review considered the following risks from surgery: pain ...

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What’s your diagnosis of this case?

This case is presented by:  Dr. Eric T. Stoopler, D.M.D., FDS RCSEd, FDS RCSEng Dr. Juan M. Bugueno, D.D.S. Dr. Kevin Sweeney, D.D.S. Dr. David C. Stanton, D.M.D., M.D., F.A.C.S  Click here to view the BRONJ Case Diagnosis and Treatment Case Presentation A 64-year-old Caucasian female presented for evaluation of symptomatic exposed bone of a two-year duration post extraction of maxillary teeth with immediate placement of four dental implants. Medical history: Is at stage IV breast adenocarcinoma treated with surgery and trastuzumab. Received intravenous zoledronic acid (ZA) 4 mg monthly for approximately two years for metastatic bone disease. Underwent dental surgery ...

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How effective is preemptive analgesia on postoperative pain following third molar surgery? Review of literatures

This summary is based on the article published in the Japanese Dental Science Review: Effectiveness of preemptive analgesia on postoperative pain following third molar surgery? Review of literatures (November 2013) Akira Yamaguchi and Kimito Sano  Context  Surgery to remove the mandibular third molar is relatively invasive and is often associated with postoperative pain, swelling and trismus, which are frustrating for both patients and surgeons. In particular, postoperative pain increases the patient’s suffering and anxiety, and can disrupt the homeostasis of the circulatory and endocrine systems (1—3). Since it is also reported that postoperative pain can have a negative influence on wound healing, reliable and fast-onset analgesia is ...

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