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Medically Compromised Patients

Does wearing dentures change sensory nerve responses under the denture base?

This summary is based on the article published in Gerodontology: Does wearing dentures change sensory nerve responses under the denture base? (March 2014) Nana Ito, Suguru Kimoto and Yasuhiko Kawai Context The standard textbook on complete dentures suggests the necessity of relief for the incisive and posterior palatine foramina of denture wearers to prevent the impingement of the nerves and vessels passing through these foramina. However, concrete evidence of the effect of dentures on the sensory function of the nerves underlying dentures is lacking. Purpose of the Study The study aim was to investigate the influence of denture-induced compression on sensory nerve responses to stimulations. ...

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Does periodontal treatment matter for periodontitis patients with cardiovascular disease?

This summary is based on the article publishedin the Journal of Clinical Periodontology: Treatment of periodontitis improves the atherosclerotic profile: a systematic review and meta-analysis (January 2014) Wijnand J. Teeuw, Dagmar E. Slot, Hendri Susanto, Victor E. A. Gerdes, Frank Abbas, Francesco D’Aiuto, John J. P. Kastelein and Bruno G. Loos Context Periodontitis is a common chronic multifactorial infectious disease of the supporting structures of the teeth (root cementum, periodontal ligament and alveolar bone) and a major cause of tooth loss. Several causal mechanisms have been proposed whereby bacterial pathogens, antigens, endotoxins, and/or inflammatory cytokines from periodontal lesions in the oral cavity contribute to the process of atherogenesis as well as to thromboembolic events and thereby increase the risk for cardiovascular ...

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Do we need further proof on the dangers of smoking?

This summary is based on the 2014 US Surgeon General’s report: The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General, 2014. Read the Executive Summary (PDF) Read the full report (PDF) For the United States, the epidemic of smokingcaused disease in the twentieth century ranks among the greatest public health catastrophes of the century, while the decline of smoking consequent to tobacco control is surely one of public health’s greatest successes. However, the current rate of progress in tobacco control is not fast enough, and much more needs to be done to end the tobacco epidemic. Unacceptably high levels of smokingattributable disease and death, and the ...

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Osteoradionecrosis: New concepts and a proposed classification

This summary is based on the article published in the British Journal of Oral and Maxillofacial Surgery: Osteoradionecrosis—A review of current concepts in defining the extent of the disease and a new classification proposal (May 2014) Andrew Lyons, Jona Osher, Elinor Warner, Ravi Kumar, Peter A. Brennan Context Osteoradionecrosis (ORN) is potentially a debilitating and serious consequence of radiotherapy to the head and neck. Although it is oftendefined as an area of exposed bone that does not heal, it can also exist without breaching the mucosa or the skin. Currently, 3 classifica-tions of ORN are in use, but they depend on ...

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Is implant therapy indicated for diabetic patients? A systematic review

This summary is based on the article published in Clinical Oral Implants Research: A critical review of diabetes, glycemic control, and dental implant therapy (February 2013)

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Anaphylaxis: an update for dental practitioners

This summary is based on the article published in the Australian Dental Journal: Anaphylaxis: an update for dental practitioners (June 2014)

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How are bisphosphonates used in children? Review of the literature and guidelines for dental management

This summary is based on the article published in the Australian Dental Journal: The use of bisphosphonates in children: review of the literature and guidelines for dental management (March 2014)

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Are there risks with intravenous sedation for patients with disabilities?

This summary is based on the article published in Anesthesia Progress:  Risk Factors With Intravenous Sedation for Patients With Disabilities (Winter 2013)

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