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Medically Compromised Patients

Featured Debbie

Oral Care in Cancer Therapy: Oral Care Pre-Head & Neck Cancer Treatment

Drs. Deborah Saunders and Joel Epstein return to Oasis Discussions to discuss oral care before, during and after head and neck cancer treatment. Cancer is the leading cause of mortality in the world and it is expected to continue to grow. Infection-related cancers such as HPV, EBV and HCV are expected to play an important role in this increase. It is forecasted that a dentist will see ~1.3 newly diagnosed case of head and neck cancer every 10 years for every 1115 patients in a practice. As such, detection is an important aspect of the oral and dental examination. Oral ...

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Featured Mel

CE Showcase ASM 2017: Medical Emergencies in the Dental Office – Medical Emergencies in Life!

It was a pleasure to meet and speak with Dr. Mel Hawkins for this interview. Generously, he prepared these slides to tell our audience what his session on medical emergencies will be about during ASM 2017. I hope you enjoy the conversation. Chiraz Guessaier, CDA Oasis Manager Highlights Dentists are treating an aging and pharmacologically drug dependent and ambulatory population. How can they be expected to respond/react to life-threatening situations when they “almost never occur” – or do they? Simplicity! Practical equipment adjuncts, a few good drugs, “red flags,” and understanding vasoconstrictor interactions, local anesthetic maximum doses, especially related to ...

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Featured Jean Marc

Craniofacial Implications of Osteogenesis Imperfecta

I had the pleasure to speak with Dr. Jean-Marc Retrouvey and view his presentation on the craniofacial implications of osteogenesis imperfecta. This is a disease that causes weak bones that break easily. It is also known as brittle bone disease where bones sometimes break for no known reason. OI can also cause many other problems, such as weak muscles, brittle teeth, and hearing loss. Dr. Retrouvey delved into the implications of treating patients that suffer from OI and what the possible treatments are. Chiraz Guessaier, CDA Oasis Manager Highlights Dr. Jean-Marc Retrouvey presents various craniofacial aspects of osteogenesis imperfecta. This is ...

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Featured Joonyoung

Local Anesthetics for the Patient Suffering from Methemoglobinemia

Dr. Joonyoung Ji speaks with Dr. John O’Keefe about the risks of administering local anesthetics to patients suffering from methemoglobinemia. Highlights Scenario A patient has a scope performed in a hospital setting and benzocaine was used to numb the area before inserting the scope. Subsequently, the patient developed methemoglobinemia. The patient’s physician has now advised that all “-caine-type” anesthetics must be avoided in this patient for all dental work. Management Context is important to determine why a scope was performed and how the situation that developed was managed. Often, in medical settings the amounts of local anesthetics that are used ...

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Featured Angela

A Primer on Maxillary Defects

Dr. John O’Keefe spoke with Dr. Angela Wong and Dr. Ruth Aponte Wesson, maxillofacial prosthodontists, about maxillary defects. Dr. Angela Wong, DMD, MS, FRCD(C) is a Maxillofacial Prosthodontist currently in private practice in Calgary, Alberta. Dr. Ruth Aponte Wesson, DDS, MS, FACP is a Maxillofacial Prosthodontist and Associate Professor at the University of Texas MD Anderson Cancer Center. Highlights Etiology Maxillary defects can present at birth as with cleft lip and palate or they can be acquired during life. Most acquired maxillary defects are caused by cancer, other causes include infection, trauma or other diseases. Oral cancer makes up about 3% ...

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CE Showcase: Dementia – Best Clinical Practices for Health Care Professionals

Ms. Yvonne Poulin, Registered Massage Therapist and Elder Planning Counsellor, spoke with Dr. Chiraz Guessaier about the course she is offering to dental teams about dementia and its relevance to dentistry. The course is titled: Best clinical practices for health care professionals. To contact Yvonne, please email her at: info@dementiacareexpert.com Course website: courses.dementiacareexpert.com Review the Course Syllabus    

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Dentistry and Geriatrics in Ireland

Dr. John O’Keefe spoke with Dr. Anne Twomey, past President of the Irish Dental Association and who recently addressed the Irish Gerontologist’s Society. The society is composed of consultant geriatricians who are strong advocates for multidisciplinary team approaches in caring for patients; however, no dentist had spoken to this organization to date. As such, Dr. Twomey shared her experiences and insights gained from her practice with their members. Highlights Better outcomes for patients can be expected, if dentists are included in patient care early in their overall care plan. Preventive care is very important for elderly patients. There are several ...

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What are some of the implant complications associated with systemic disorders and medications?

This summary is based on information found in Dental Implant Complications: Etiology, Prevention, and Treatment, 2 (Wiley Publishing, 2015) Key messages Patient selection is the critical factor for implant success and survival in any medically complex situation. When medical conditions are managed wisely, most patients have improved overall health with fixed replacements as opposed to removable appliances. Exceptional care must be taken so that any implants placed will be successful and safe for the clinician and the patient. It is essential to routinely review the literature and expect that protocols for patients with systemic diseases or taking medications will be regularly updated as our knowledge of dental implants advances.   Although ...

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