Medicine

Oasis Case Conference: Managing a Patient with a Nasal Pharyngeal Carcinoma

The following conversation occurred between Drs. Paul Belzycki and Erin Watson, general Dentists in Toronto. Dr. Belzycki is a private practitioner and Dr. Watson is a dentist operating at Princess Margaret Hospital. The conversation is about the management of a patient with a nasal pharyngeal carcinoma and who was treated by both Drs. Belzycki and Watson. Drs. Belzycki and Watson emphasized the importance of clearly and regularly communicating between professionals to ensure the best treatment for the patient. Dr. Belzycki is accustomed to thoroughly document his cases, a fact that Dr. Watson praised and considered instrumental for the patient’s treatment ...

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ADA: Evaluation of Potentially Malignant Disorders in the Oral Cavity Clinical Practice Guideline (2017)

Adapted from the American Dental Association website A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents an evidence-based clinical practice guideline called the “Evidence-Based Clinical Practice Guideline for the Evaluation of Potentially Malignant Disorders in the Oral Cavity.” The goal for this 2017 clinical practice guideline is to inform clinicians about the potential use of adjuncts as triage tools for the evaluation of lesions, including potentially malignant disorders (PMDs), in the oral cavity. Among the guideline’s recommendations: Clinicians should obtain an updated medical, social, and dental history and perform an intraoral and extraoral ...

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Oral Complications during Cancer Therapy: Bacterial Infections

Submit your question or share your feedback with us through oasisdiscussions@cda-adc.ca Highlights In this Oasis Discussions segment, Dr. Deborah Saunders and Dr. Joel Epstein discuss the management of bacterial infections in oncology patients undergoing treatment. Periodontal and odontogenic infections are commonly found worldwide. However, Periodontal pathogens may cause serious problems in cancer patients. As such, dentists play a crucial role in decontaminating patients and ensuring safe treatments for these patients. All patients should be examined prior to the cancer treatment. It is important to understand his his/her cancer diagnosis and the type of treatment he/she will be having. The work-up ...

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Oral Complications during Cancer Therapy: Viral Infections

Submit your question or share your feedback with us through oasisdiscussions@cda-adc.ca Highlights Dr. Joel Epstein and Dr. Deborah Saunders return to Oasis Discussions to discuss viral infections and how they may present in cancer patients. Diagnosis of these infections requires asking the correct questions of the patient to determine if the patient may be a carrier of the virus, clinical presentation, nature and timing during cancer therapy and the appropriate tests. In some instances, prophylactic management may be considered. Most viral infections are reactivation of viral infections that are latent in the host. The virus uses the host’s DNA or ...

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Managing the Pain in Temporomandibular disorders (TMD)

Dr. Aviv Ouanounou returns to Oasis Discussions to highlight valuable information he and his fellow authors, Dr. Goldberg and Dr. Haas, recently published related to the pharmacological management of patients suffering from temporomandibular disorders. He spke with Dr. Suham Alexander, CDA Oasis Clinical Editor.  Submit a question or share your feedback with us through oasisdiscussions@cda-adc.ca  Highlights Temporomandibular disorders (TMD) are prevalent in patients aged 20 – 40 years of age. It is estimated that approximately 30% of population exhibits at least 1 TMD symptom, while approximately 3 – 7% of population have TMD with more severe symptoms. Anxiety, stress and ...

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Sugar content, cariogenicity, & dental concerns with commonly used medications

It was a pleasure to host my friend Dr. Mark Donaldson to speak about a somewhat ‘less thought-about’ issue for dentists: sugar in commonly prescribed medications for dental patients. We don’t usually think about it much, but much of the medication prescribed today contains quite a bit of sugar, and dental practitioners need to take this fact into consideration when treating their patients, in particular those who are medically compromised.  If you have any questions, Dr. Donaldson would be happy to respond to those. Email us at oasisdiscussions@cda-adc.ca Chiraz Guessaier, CDA Oasis Manger Highlights Oral adverse events such as cariogenicity are often ...

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Dental Implant Survival and Complication Rate for Patients with Diabetes Mellitus

We may be in the early stages of a good news story. My interview with Dr. Thomas Oates, Professor and Chair of the Department of Advanced Oral Sciences and Therapeutics at the University of Maryland, was about a recent study he co-authored and published in Clinical Implant Dentistry & Related Research journal, titled: Dental Implant Survival and Complication Rate over 2 Years for Individuals with Poorly Controlled Type 2 Diabetes Mellitus. The study offers hope that diabetic patients could benefit from successful implant treatment without complications. I hope you enjoy the interview!  Chiraz Guessaier, CDA Oasis Manager Highlights Background Emerging evidence ...

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Oral Cancer Complications: Dysgeusia

Drs. Debbie Saunders and Joel Epstein return to continue their series of presentations on oral cancer. Today they speak about one oral cancer complication: Dysgeusia.  Highlights Dysgeusia is another common oral complication which presents during cancer treatment. Dysgeusia is defined as an abnormal or impaired sense of taste, an unpleasant alteration of taste sensation or a distortion or perversion of the sense of taste. Taste is complex, with 5 tastes noted: sour, salt, sweet, bitter and umami.  In addition “spicy” taste is mediated by c-fibers and fat may be appreciated by specific receptors and by texture.  Taste along with texture, ...

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