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Restorative Dentistry

What are the early signs of periodontal disease?

This question was submitted by a general dentist: What are the early signs of periodontal disease? Dr. Gordon Schwartz, from GumDocs, in collaboration with Dr. Suham Alexander, Oasis Clinical Editor, provided this quick initial response

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Sodabriety: intervening against the impact of sugar-sweetened beverages

This summary is based on the article published in the Journal of School Health: Piloting ‘‘Sodabriety’’: A School-Based Intervention to Impact Sugar-Sweetened Beverage Consumption in Rural Appalachian High Schools (March 2014)

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How can I treat halitosis?

This question was submitted by a general dentist: how can I treat halitosis?  Dr. Eric Stoopler, University of Pennsylvania, in collaboration with Dr. Suham Alexander, Oasis Clinical Editor, provided this quick initial response Halitosis is fairly common in the general population with an estimated prevalence of ~25%. It affects men and women in similar proportions; although, women are more likely to seek treatment for it more quickly as the condition can cause social embarrassment. There is a lack of scientific evidence in the area of halitosis given there is a subjective nature to the condition. Differences exist in cultural as ...

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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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