This question was submitted by a general dentist: How do you treat a patient with scleroderma who has periodontal issues – advanced recession, stripping of the attached gingiva from the roots? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Systemic Scleroderma Systemic scleroderma is a relatively rare condition that affects ~19/1,000,000 adults annually. Women experience the condition 3 times more than men. A vasoconstrictive event known as Raynaud’s phenomenon is often one of the first signs of the disease which is precipitated by emotional distress or exposure to cold. (It should ...Read More »
What are the current perspectives on the role of ridge (socket) preservation procedures in dental implant treatment in the aesthetic zone?
This summary is based on the article published in the Australian Dental Journal: Current perspectives on the role of ridge (socket) preservation procedures in dental implant treatment in the aesthetic zone (March 2014) B Kassim, S Ivanovski, N Mattheos Context Augmentation of the extraction socket (ridge preservation) is increasingly being advocated in anticipation of implant placement. Substantial tissue loss leads to increased difficulty in placing the implant fixture in a prosthodontically suitable position. To facilitate such placement, guided bone regeneration (GBR) procedures (either simultaneous at implant placement or staged as a separate surgical procedure) are often required. Ridge ...Read More »
How effective are contemporary adhesives for the restoration of non-carious cervical lesions? A systematic review
This summary is based on the article published in Dental Materials: Clinical effectiveness of contemporary adhesives for the restoration of non-carious cervical lesions. A systematic review (August 2014) M. Peumansa, J. De Munck, A. Mine, B. Van Meerbeek Context Non-carious cervical lesions (NCCLs) should be restored as minimally invasive as possible. Currently, adhesive materials indicated to restore NCCLs include glass-ionomers and their resin-modified version, poly-acid modified composites (most frequently referred to as ‘compomers’), composite (1) and recently also self-adhesive composites (2, 3). Contemporary adhesives can be classified according to their mode of action into etch & rinse (E&Ra) ...Read More »
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 ...Read More »
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 ...Read More »
This question was submitted by a general dentist: Is it safe to use vasoconstrictors in patients with sickle-cell disease? Which one is the best choice? Could I perform a painless dental extraction without vasoconstrictors in these cases? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Sickle Cell Anemia Sickle cell anemia is a genetic disorder of hemoglobin synthesis occurring predominantly in African, Mediterranean and Asian populations. Affected individuals with carrying one allele have the sickle cell trait and may experience some sickling with exercise or in high altitudes due to lower oxygen tensions. ...Read More »
Are there recommended guidelines for reducing the incidence of shingles in a patient that has a history of developing shingles after dental care?
This question was submitted by a general dentist: Are there recommended guidelines for reducing the incidence of shingles in a patient that has a history of developing shingles after dental care? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Shingles (herpes zoster) is the reactivation of the chicken pox virus (varicella zoster) which typically establishes dormancy in dorsal root or cranial nerve ganglia during childhood. Reactivation usually occurs later in life mainly affecting thoracic and lumbar dermatomes; however, a small proportion of patients present with trigeminal nerve involvement. Herpes zoster may occur spontaneously ...Read More »
This summary is based on the review published in the Cochrane database of systematic reviews: Interventions for the management of dry mouth: non-pharmacological interventions (September 2013) Furness S, Bryan G, McMillan R, Birchenough S, Worthington HV Context Xerostomia is the subjective sensation of dry mouth. Common causes of xerostomia include adverse effects of many commonly prescribed medications, disease (e.g. Sjogren’s Syndrome) and radiotherapy treatment for head and neck cancers. Non-pharmacological techniques such as acupuncture or mild electrostimulation may be used to improve symptoms. Purpose of the Review To assess the effects of non-pharmacological interventions administered to stimulate saliva ...Read More »