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Dental Specialties

What causes a salty mouth taste?

This question was submitted by a general dentist: In the last month, I have had 3 patients complain of a salty taste in their mouths, what could be the cause?  Dr. Gary Klasser in collaboration with Dr. Suham Alexander, Oasis Discussions Editor, provided this quick initial response When introduced in the oral cavity, food interacts chemically with salivary components which, in turn, stimulate taste receptors. These receptors are most commonly found on the superior surface of the tongue as well as the palate and epiglottis, but also occur in tissues like chemosensory cells of the alimentary tract, brain, pancreas and ...

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What are the causes of a burning tongue?

This question was submitted by a general dentist: What are the causes of burning tongue?     Dr. Gary Klasser in collaboration with Dr. Suham Alexander, Oasis Clinical Editor, provided this quick initial response (Glossodynia, Glossopyrosis, Stomatodynia, Stomatopyrosis, Sore tongue, Oral dysaesthesia) Burning mouth syndrome (BMS) is an idiopathic condition which predominantly affects peri- or post-menopausal women in a higher frequency than it affects men. The condition has not been reported in children. The burning sensation may occur in several sites of the oral cavity, such as the hard palate, gums and lower lip; however, it most often presents bilaterally ...

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How would you manage sleep bruxism in special needs patients?

This summary is based on the article published in Research in Developmental Disabilities: Treatment of bruxism in individuals with developmental disabilities: a systematic review (September 2009) Russell Lang, Pamela J. White, Wendy Machalicek, Mandy Rispoli, Soyeon Kang, Jeannie Aquilar, Mark O’Reilly, Jeff Sigafoos, Giulio Lancioni, Robert Didden Context  Individuals with developmental disabilities experience more oral and craniofacial diseases and injuries than the general population. (1)  Bruxism is a serious psycho-physiological disorder and a common clinical issue in dentistry. (2)  Although data are limited, bruxism appears to be more common in individuals with developmental disabilities, specifically, profound/severe mental retardation, autism spectrum disorders, and Down’s syndrome than other ...

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AADR/CADR Annual Meeting 2014: Water Fluoridation: Safety, Effectiveness and Value in Oral Health Care

On Friday March 21st, 2014, the American Association for Dental Research (AADR) will hold a symposium on Water Fluoridation: Safety, Effectiveness & Value in Oral Health Care. Dr. John O’Keefe interviewed Dr. Stephen H. Abrams, about the significance of bringing the issue of water fluoridation to the general practitioner’s attention in order to start an informed dentist-patient and community-wide conversation. Context  Community water fluoridation (CWF) and other fluoride modalities historically have been and remain the cornerstone for the prevention and control of dental caries. There is extensive evidence on the efficacy and cost‐effectiveness of these interventions as well as assessments of the risks associated ...

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What’s recommended for invasive dental treatment in patients using oral antithrombotic medication, including novel oral anticoagulants?

This summary is based on the article published in the journal of Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology: Management recommendations for invasive dental treatment in patients using oral antithrombotic medication, including novel oral anticoagulants (December 2013) Denise E. van Diermen, MD, PhD, Isaäc van der Waal, DDS, PhD, and Johan Hoogstraten, PhD Context  Oral antithrombotic medication (OAM) has long been used successfully to treat a variety of thrombotic diseases, such as myocardial infarction, stroke, and deep venous thrombosis, and to prevent cardiovascular diseases.(1-4) For decades, doctors and patients have worried about the adverse side effects of these medicines, mainly consisting of bleeding complications, either spontaneously or ...

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What is the best approach to prevent secondary caries from spreading under composite restorations?

This question was submitted by a general dentist: What is the best approach to prevent secondary caries from spreading under composite restorations? Dr. Jacinta Santos, Assistant Professor of Restorative Dentistry, Schulich School of Dentistry at Western University, has provided this quick initial response. Drafted by Alexandra Rabalski, JCDA Oasis Intern Resin-modified glass-ionomer (RMGI) can be used as a liner or as a restorative material. RMGI releases fluoride, thus protecting the tooth against possible secondary caries. In addition, polymerization shrinkage is much lower for RMGI than for resin composite, generating less stress on the walls of the tooth. I always teach my students ...

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What kind of restoration material is best recommended for root caries, especially where isolation is a problem?

This question was submitted to us by a general dentist: What kind of restoration material is best recommended for root caries, especially where isolation is a problem? Dr. Jacinta Santos, Assistant Professor of Restorative Dentistry, Schulich School of Dentistry at Western University, has provided this quick initial response. Drafted by Alexandra Rabalski, JCDA Oasis Intern In a root caries procedure, lack of dentin and poor isolation may present restoration challenges. Resin-modified glass-ionomer (RMGI) is a restorative material that can be used effectively in this situation. Clinical studies have demonstrated that RMGIs: Have very good retention over time (due it’s chemical and mechanical ...

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Your Opinion: How would you treat this case?

This case was submitted by Dr. Matt Gilchrist An 11 year-old presented to my office in December 2013 for a routine recall examination. The right bitewing revealed what appeared to be gross decay on the 1-4 occlusal. Upon further review of the bitewing from last year, it was noted that this exact same lesion had been present since the tooth first erupted into the child’s mouth (sorry, no picture, as we were not digital at that time). The tooth has been symptomatic, and a PA was taken which was within normal limits. Clinically there was no evidence of gross decay, ...

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