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Medically Compromised Patients

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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Exploring Xerostomia in the Elderly with Dr. Aviv Ouanounou

Dr. Aviv Ouanounou explores with Dr. Suham Alexander the topic of xerostomia in the elderly patient.  Video Highlights Xerostomia or dry mouth is a common condition that occurs in the elderly population. In xerostomia, salivary flow is reduced. Because saliva has several important functions in the oral cavity including but not limited to antimicrobial effects, digestion, swallowing and speech, decreased salivary flow has many important implications. Prevalence in the elderly ranges from 45-50% compared to 10-14% in the general population 3 main causes in the elderly Use of non- and prescription medications Medical conditions such as salivary gland disorders (Sjogren’s syndrome), ...

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Exploring Epilepsy and Epileptic Drugs with Dr. Aviv Ouanounou

Dr. Aviv Ouanounou explores with Dr. Suham Alexander the topic of epilepsy and anti-epileptic drugs and their relevance to dentistry.   Video Highlights Epilepsy is one of the first diseases noted in history and it afflicts ~1% of the population. While most epileptics are well-controlled with medication, there is still a fairly high number of people that have uncontrolled seizures. In this video presentation, Dr. Aviv Ouanounou, discusses the pathophysiology, medications and dental implications of patients with this disease. 3 types of seizures – partial, generalized, status epilepticus Anti-epileptic drugs reduce voltage regulated Ca2+ channels, enhance GABA neurotransmission and interact with glutamate ...

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CDA Oasis Resource: Anesthetic Considerations for the Hypertensive Patient

This resource is provided courtesy of Wiley Publishing. Read and download the presentation (PDF) Watch the video presentation Source: Anesthesia Complications in the Dental Office, First Edition. Wiley Publishing, 2015.

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What are the dental considerations for treating patients suffering from acute adrenal insufficiency?

  Cortisol, a glucocorticoid produced by adrenal cortex is essential for the human body to survive in stressful situations. The deficiency of cortisol in the human body leads to adrenal insufficiency which in turn can compromise the individual’s ability to adapt to a stressful situation, such as a dental appointment. Adrenal insufficiency can manifest as loss of consciousness, a decrease in peripheral vascular resistance, shock, and ventricular asystole leading to death. Based on the underlying pathophysiology, adrenal insufficiency can be classified as primary adrenal insufficiency (Addison’s disease) due to autoimmune adrenalitis, and secondary adrenal insufficiency due to disuse atrophy of ...

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