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Oral Surgery

Which handpieces are appropriate to use in bone removal and tooth sectioning during exodontia to minimize the risk of air embolism?

This question was submitted by a general dentist: Which handpieces are appropriate to use in bone removal and tooth sectioning during exodontia to minimize the risk of air embolism? Dr. Suham Alexander, Oasis Discussions Editor, and Dr. George Sandor, Oral maxillofacial surgeon, provided this initial quick response

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How effective is photo-activated disinfection therapy for dental surgery?

This summary is based on the Rapid Response report published by the Canadian Agency for Drug and Technologies in Health (CADTH): Photo-Activated Disinfection Therapy for Dental Surgery: Review of the Clinical Effectiveness (September 2013)

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Update with author’s response: What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?

This is an update of the summary presented on December 17th, 2013. Based on our readers’ comments and questions, we have sought answers from the author. Due to their importance, we chose to present those in an updated post.  Dr. Edmund Bailey What would be the recommended dosing and schedule for combining the two medications? And what would be the maximum dosing guideline? If rescue medications are required, what would be recommended and how would that be modified, if a patient has a codeine allergy? Based on this review, the ideal doses are 400mg ibuprofen and 1000mg paracetamol, both may ...

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What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?

This summary is based on the Cochrane systematic review: Ibuprofen versus paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth  Context Both paracetamol and ibuprofen are commonly used analgesics for the relief of pain following the surgical removal of lower wisdom teeth (third molars). In 2010, a novel analgesic (marketed as Nuromol) containing both paracetamol and ibuprofen in the same tablet was launched in the United Kingdom. This drug has shown promising results to date and there is a need to compare the combined drug with the single drugs using this model. In this review, the optimal doses ...

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Misuse of opioid pain medication in dentistry: Fact or fiction?

Derived from the Chronic Orofacial Pain Workshop of the Network for Canadian Oral Health Research, IMHA, Canadian Institutes of Health Research, Montreal, November 2013 Gilles Lavigne, DMD, PhD, FRCD,  Professor, Faculté de médecine dentaire, Université de Montreal Mary Lynch, MD FRCPC,Professor Anesthesiology Psychiatry Pharmacology,Dalhousie University, To understand the misuse of prescription opioid analgesics (POA), it is critical to examine the definitions used in the research. The Canadian Alcohol and Drug Use Monitoring Survey (CADUMS) is an ongoing national survey that examines alcohol and drug use in Canadians 15 years of age and older. CADUMS defines the nonmedical use of prescription ...

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Are local anesthetics still controversial for patients taking oral anticoagulants?

This summary is based on the article published in the British Journal of Oral and Maxillofacial Surgery: Safety of local anaesthesia in dental patients taking oral anticoagulants: is it still controversial? (January 2012) Purpose of the Study To investigate the safety of local infiltration techniques and the inferior alveolar nerve block (IANB) in dental patients taking oral anticoagulants. Main Findings Bleeding as a result of the use of local anaesthesia in patients with therapeutic INR is unlikely, provided that the IANB is done correctly. IANB in patients with INR within therapeutic range is safe. Haemorrhagic complications after local anaesthesia, including the IANB (possibly even other nerve blocks), ...

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How effective are antibiotics in the treatment of peri-implantitis?

This summary is based on the article published in the International Dental Journal: Clinical efficacy of antibiotics in the treatment of peri-implantitis (August 2013) Context  Various treatment regimes for Peri-implantitis (PI) have been proposed in the literature. As it is known that bacteria can transfer from periodontally involved teeth to an implant, and that the microbes associated with PI resemble those of periodontal disease, local or systemic delivery of antibiotics with traditional PI treatment regimes may eliminate periodontopathogenic bacteria to a greater extent compared with when these treatment regimes are performed alone. This in turn may facilitate healing of PI ...

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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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