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Dental Specialties

What are some of the immunological diseases encountered in dental practice?

This summary is based on the article published in the British Dental Journal: General medicine and surgery for dental practitioners: part 5. Immunological disease and dental practice (August 2014) M. Greenwood, J. G. Meechan and C. Stroud   Context At some stage in clinical practice all dental practitioners will encounter patients with disorders of the immune system. It is therefore important that dental practitioners are aware of the potential implications for safe practice. Purpose of the Paper Provides an overview of clinical immunology and how it interfaces with dentistry. Highlights signs of possible immunodeficiency. Discusses oral conditions that may be ...

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How do sleep disorders interact with oral diseases?

This summary is based on the article published in Oral Diseases: Interactions between sleep disorders and oral diseases (April 2014) N.T. Huynh, E. Emami, J.I. Helman, R.D. Chervin Context Dental sleep medicine is a rapidly growing field that is in close and direct interaction with sleep medicine and comprises many aspects of human health. As a result, dentists who encounter sleep health and sleep disorders may work with clinicians from many other disciplines and specialties. The main sleep and oral health issues that are covered in this review are obstructive sleep apnea, chronic mouth breathing, sleep-related gastroesophageal reflux, and sleep ...

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What is the impact of diet on periodontal health and wound healing after periodontal surgery?

This summary is based on the article published in the Open Dentistry Journal: Dietary strategies to optimize wound healing after periodontal and dental implant surgery: an evidence-based review Beatrice Y. Lau, Bryan D. Johnston, Peter C. Fritz and Wendy E. Ward Context Methods to optimize healing through dietary strategies present an attractive option for patients, such that healing from delicate oral surgeries occurs as optimally as possible with minimal patient-meditated complications through improper food choices. To date, research in this area has largely focused on foods or individual dietary components that may attenuate inflammation or oxidant stress, or foster de ...

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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 are the immediate and long-term considerations for the GP dentist providing dental care to children who have undergone cancer therapy or bone marrow transplantation?”

This question was submitted by a general dentist: What are the immediate and long term considerations for the GP dentist providing dental care to children who have undergone cancer therapy or bone marrow transplantation?” Dr. Carol Janik and Caroline Fulop provided this initial response.  The focus of this article is to provide practitioners with guidance on the clinical considerations for pediatric patients who have undergone cancer therapy or bone marrow transplantation. For more information on patients who have been diagnosed and are planned to initiate treatment or those patients currently undergoing therapy please consider referral to a hospital pediatric dentist and ...

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‘Usual treatment’ vs. ‘psychosocial interventions’ in the treatment of TMD: What’s the difference? A systematic review

This summary is based on the article published in the Journal of Oral & Facial Pain and Headache: A systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofacial temporomandibular disorder pain (summer 2014) Carolina Roldán-Barraza, DDS/Steffani Janko, DDS, PhD/Julio Villanueva, DDS, MBA/Ignacio Araya, DDS, MSc/Hans-Christoph Lauer, DDS, PhD     Context Temporomandibular disorders (TMD) represent a complex set of conditions reflecting different symptoms that affect the Temporomandibular joint and surrounding structures. Epidemiologic studies have shown that the majority of TMD patients are diagnosed with myofacial pain. (1) The different approaches to treatment as well as ...

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Dealing with “unacceptably inconsistent” advice on toothbrushing

This summary is based on the article published in the British Dental Journal:  An analysis of methods of toothbrushing recommended by dental associations, toothpaste and toothbrush companies and in dental texts (August 2014) J. Wainwright and A. Sheiham Context Universally, dentists, dental associations  and government bodies recommend regular daily toothbrushing because it is  so important for preventing periodontal  disease and caries. One would expect some professional consensus on which methods of toothbrushing to recommend. Evaluations on  the effectiveness of dental health education indicate that adherence to recommendations on toothbrushing are not good. This may be related to the fact that the methods of  toothbrushing recommended are either ...

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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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