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Medically Compromised Patients

ASM2018: Dental Management of Patients with Endocrine Disorders

As the Ontario Dental Association‘s Annual Spring Meeting approaches, we at CDA Oasis are pleased to bring you highlights of some of the speakers and the sessions that will be offered this year. It is my hope that you learn from the various conversations; and if you happen to be in Toronto, you find it interesting enough to attend the event.  Dr. Aviv Ouanounou will be presenting two sessions at ASM this year. Dr. Ouanounou is Assistant Professor in clinical sciences and pharmacology in the Faculty of Dentistry at the University of Toronto.  ASM2018 is the single largest venue where ...

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Can Silver Diamine Fluoride Arrest Post-Radiation Caries? Case Report

Dr. Jessica Metcalfe prepared an Oasis presentation about the possibility of using silver diamine fluoride to arrest post-radiation caries. Silver diamine fluoride is fairly new in Canada; and to date its efficacy has only been proven with children and older adults. Through these cases, Dr. Metcalfe is exploring the possibility of helping patients who undergo radiation and experience dry mouth and subsequent caries. Dr. Metcalfe is staff dentist in the Department of Dental Oncology and Maxillofacial Prosthetics at Princess Margaret Hospital Cancer Centre. I hope you find the information valuable and we always welcome your feedback, suggestions and questions at oasisdiscussions@cda-adc.ca ...

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Measuring the Impact of Oral Cancer on Quality of Life

I hosted Dr. Jesus Amadeo Valdez as the primary author of a recent article that was published in the Dental Clinics of North America. The article speaks about the importance of measuring the impact of oral cancer on the patients’ quality of health. The physical and financial impacts of such as devastating disease are well known and documented. However, the psychological impacts are less obvious and on some occasions form a communication barrier between the patient and their oral health care provider. We thought it would be beneficial to shed some light on such a topic.  Dr. Valdez is Chief resident ...

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The Prevention and Management of Medication Related Osteonecrosis of the Jaw: Two Cases

Today, we bring you two interesting complex cases that were treated by Dr. Erin Watson, general dentist practicing out of Princess Margaret Cancer Center, and Dr. Irwin Golosky, Endodontist in Toronto.  Both cases deal with patients who are at higher risk for medication related osteonecrosis of the jaw (MRONJ). Educational information is also presented to frame the situation and provide relevance to the general dentist. In cases where it is possible to prevent MRONJ, treatment is somewhat straightforward. However, in other cases where there is already a risk of MRONJ, treatment is challenging and requires the tight collaboration of a ...

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Is There a Link Between Poor Oral Health and Physical Frailty in Older Men?

Dr. Sheena Ramsey, Clinical Senior Lecturer in the Institute of Health and Society at Newcastle University, is the coauthor of a study that looked into identifying the link between poor oral health and physical frailty in a group of older British men. Although the link between poor oral health and good levels of nutrition seems obvious, it is important to seek evidence that proves such association. The cross-sectional and longitudinal study they conducted followed a cohort of older British men as part of the British Regional Heart Study. As usual, our hope is that the content is beneficial to you ...

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Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

On November 13th, 2017, the American Heart Association and the American College of Cardiology issued the first comprehensive new high blood pressure guidelines in more than a decade. To give us more details on the evidence behind this update to the guidelines, we invited Dr. Joaquin Cigarroa, a member of the joint American Heart Association and the American College of Cardiology task force that developed and drafted these new guidelines.  I hope you enjoy the interview informative and find the PDF resource valuable. Please share your feedback, suggestions, and questions through oasisdiscussions@cda-adc.ca Until next time! Chiraz Guessaier, CDA Oasis Manager Highlights ...

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Oasis Case Conference: Managing a Patient with a Nasopharyngeal 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 nasopharyngeal 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 and most helpful. I ...

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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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