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Medically Compromised Patients

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Depression and Anti-Depressants with Dr. Aviv Ouanounou

Dr. Aviv Ouanounou comes back to speak about depression and anti-depressant medication and the main considerations in treating patients who are taking anti-depressants. Highlights  Depression is a common disease that affects the elderly and is the 4th highest cause of disability worldwide. The disease can affect not only the individual diagnosed with depression but, also his/her family and friends. Genetics, biochemical imbalances, stress, personality type, certain medications as well previous depressive episodes can predispose one to depression. Signs and symptoms vary from one individual to another but include suicidal thoughts, sadness, low self-esteem, disturbed sleep patterns and irritability. Types of ...

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Treating Patients with Thyroid Disease

Dr. Aviv Ouanounou comes back to speak about how to manage patients who suffer from thyroid disease.  Highlights Dr. Aviv Ouanounou discusses thyroid disease and its dental implications. The thyroid gland produces two important thyroid hormones, T4 (thyroxine) and T3 (triiodothyronine). The thyroid gland has many important functions including: metabolism, growth and development, cardiovascular effects (stroke volume, heart rate etc.), memory, growth and maturation of the epidermis and the central nervous system. Thyroid disease commonly presents as either hypothyroidism or hyperthyroidism and commonly affects women more often than men. Risk factors for thyroid disease include women aged 55+, obesity, radiation ...

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To stop or not to stop anticoagulants in patient prior to dental surgery?

Dr. Jose Lança, from the Faculty of Dentistry and the Faculty of Medicine at the University of Toronto, speaks with Dr. John O’Keefe about the important decisions dentists need to make when treating patients who are on anticoagulants and who need dental surgery: should they, or not, ask the patient to stop taking their anticoagulant medication? Highlights The monitoring of warfarin anticoagulation is aimed at conventional anticoagulation INR of 2.0-3.0 (normal INR:0.9-1.1). Intensive anticoagulation is defined as an INR of 2.5-3.5, and critical values of >4.5-5.0. Do not be quick in discontinuing oral anticoagulants just because the patient might experience ...

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Managing ADHD in the Dental Practice

In this video, Lisa Mayo, RDH, presents some tips on how to manage the patient with ADHD in the dental practice. Lisa leads a webinar on teh COlgate Oral health Network titled: Why  Won’t He Sit Still?…Because He Can’t! You can access the webinar here       Lisa Dowst-Mayo, RDH, BSDH graduated Magna Cum Laude from the Caruth School of Dental Hygiene at Baylor College of Dentistry in 2002 with a Bachelor’s degree in Dental Hygiene.  She is currently pursuing a Master’s degree in Healthcare Administration from Ohio University.  She has held numerous leadership roles in the tripartite of the ...

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Speaking of Medical Emergencies in the Dental Practice with Dr. Dan Pompa

Dr. Dan Pompa spoke with Dr. Suham Alexander about a webinar he presents on the Colgate oral Health Network for Professional Development and Education, entitled: Update on Medical Emergencies: 2016. Access the Webinar here After graduating from New York University College of Dentistry in 1978, Dr. Pompa completed a General Practice Residency at Long Island Jewish Hospital, followed by specialty training in Oral and Maxillofacial Surgery at Lincoln Hospital, New York Medical College. In 1982, he became a Fellow of The American Association of Oral and Maxillofacial Surgeons and in 1992 a Fellow in The International Congress of Oral Implantologists. In November ...

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Treating the Patient with Parkinson’s Disease

Dr. Aviv Ouanounou, fron the University of Toronto, comes back to offer tips on how to manage the patient with Parkinson’s disease in the dental office.   Highlights Parkinson’s disease is a progressive and degenerative neurological disorder characterized by: bradykinesia, tremors, rigidity and postural stability. This disease affects ~2 million people in the United States and every year 80,000 new cases are diagnosed. While this disease is usually found in those 65 and older, approximately 10% of Parkinsonian patients are younger than 45 years of age. There are 4 main classes of medications used to treat the disease. Levo-dopa (with ...

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Managing Type 2 Diabetes in the Dental Practice

This post was prepared by Drs. Aviv Ouanounou and Suham Alexander    Diabetes occurs in approximately 6-15% of the general population and typically, in those over the age of 45 years. Up to 25-30% of the adult population over 65 years is diagnosed with some form of diabetes. Diabetes is the 6th most common cause of death and can result in blindness, end-stage renal disease, cardiac disorders as well as neuropathies. Type I Diabetes Insulin Dependent Diabetes Mellitus (IDDM) Also, known as Juvenile Diabetes Occurs mostly in young children and teens Affects ~10% of the diabetic population Destruction of beta ...

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CDA Oasis Conversations: Finding the Missing Link: Periodontal Disease and Cardiovascular Disease

Drs. Liran Levin and Maria Febbraio spoke with Dr. John O’Keefe about the latest research done at the University of Alberta’s School of Dentistry about the missing link between periodontal disease and cardiovascular disease. Watch the interview Dr. Liran Levin Dr. Levin is the Head of the Periodontology Division at the Faculty of Medicine and Dentistry, University of Alberta, Canada. He is also a visiting professor at the Harvard School of Dental Medicine, Boston, MA. Dr. Levin was the Head of Research at the School of Dentistry, Rambam Health Care Campus, and Faculty of Medicine – Technion IIT Haifa, Israel. Dr. ...

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