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Medically Compromised Patients

CDA Oasis Resource: Understanding Substance Use Disorders, Drug Diversion and Pain Management

This resource is provided courtesy of Wiley Publishing and the American Dental Association.  Read and download the resource in PDF     Watch the video presentation  

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CDA Oasis Conversations: Dr. Aviv Ouanounou speaks about medication abuse among the elderly population

Dr. Aviv Ouanounou spoke with Dr. Suham Alexander about medication abuse among the elderly population and what considerations should the oral health care professional take when treating an elderly patient. Dr. Aviv Ouanounou is Assistant Professor, Pharmacology, in the Faculty of Dentistry at the University of Toronto.     Watch the vide interview  

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Update for dentists: Osteonecrosis of the jaw

This paper is an adaptation, with permission, of the recent systematic review published in the Journal of Bone and Mineral Research by the International Task Force on Osteonecrosis of the Jaw. Archibald Morrison, DDS, MS, FRCD(C); Aliya Khan, MD, FRCPC, FACP, FACE; Sotirios Tetradis, DDS, PhD; Edmund Peters, DDS, MSc, FRCD(C) Read the full article (PDF)   This work provides a systematic review of the literature from January 2003 to April 2014 pertaining to the incidence, pathophysiology, diagnosis, and treatment of osteonecrosis of the jaw (ONJ), and offers recommendations for its management based on multidisciplinary international consensus. Purpose of the ...

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How do you manage people with Parkinson’s disease in the dental setting?

This question was submitted by a general dentist: Do you have any suggestions for managing Parkinson’s disease in a clinical setting to enable a safe hygiene and restorative outcome. I have a patient with advancing motor and swallowing/breathing difficulties that is not manageable for the hygienist presently. Restorative procedures would be equally impossible. Dr. Alison Dougall from IADH and Dr. Suham Alexander provided this quick initial response:  Parkinson’s disease is the second most common chronic and progressive neurodegenerative disease involving the neurons responsible for producing dopamine. Parkinson’s affects approximately 1 in 1000 people in the general population. The peak onset is between 55 and 66 ...

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How do you treatment plan for restorative implantology?

This summary is based on the article published in Dental Clinics of North America: Treatment Planning for Restorative Implantology (April 2015) Ricardo A. Boyce, DDS, FICD; Gary Klemons, DDS Context More than 30 million people Americans are missing their teeth, according to the American Academy of Implant Dentistry. The restorative dentist should inquire about: If there were any surgical complications, Insertion torque, If there was a need for bone grafting or sinus lift, The size/diameter of the platform and length of the implant, The implant manufacturer, The estimated time of placement of the healing cap, and The clearance from the ...

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Case Conference: How would you treat this 73-year old patient on chemotherapy? Case Resolution

Dr. Linda Lee presents how the case of a 73-year old female patient who is undergoing chemotherapy was resolved. Dr. Linda Lee DDS, MSc. Dipl. ABOP, FRCD(C), Oral Pathology/Medicine     She is Associate Professor, Faculty of Dentistry, University of Toronto Staff Dentist, Princess Margaret Cancer Centre, University Health Network. Dr. Lee received her DDS degree in 1977 from the University of Toronto and her Certificate in Oral Pathology, Indiana University School of Dentistry Master of Science, Indiana University. Click here to view the case presentation    Watch the case resolution  

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Case Conference: How would you treat this 73-year old patient on chemotherapy?

Dr. Linda Lee presents the case of a 73-year old female patient who is undergoing chemotherapy. Dr. Linda Lee DDS, MSc. Dipl. ABOP, FRCD(C), Oral Pathology/Medicine     Dr. Lee is Associate Professor, Faculty of Dentistry, University of Toronto Staff Dentist, Princess Margaret Cancer Centre, University Health Network. Dr. Lee received her DDS degree in 1977 from the University of Toronto and her Certificate in Oral Pathology, Indiana University School of Dentistry Master of Science, Indiana University.       Watch the case presentation   We welcome your input about this topic. You have the option to remain anonymous in leaving your feedback. Please note ...

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Evaluating Neck Masses in Adults

This summary is based on the article published in the American Family Physician: Evaluation of Neck Masses in Adults (May 2015) James Haynes, MD; Kelly R. Arnold, MD; Christina Aguirre-Oskins, MD; And Sathish Chandra, MD Context Neck masses are often seen in clinical practice, and the clinician should be able to determine the etiology of a mass using organized, efficient diagnostic methods. The first goal is to determine if the mass is malignant or benign; malignancies are more common in adult smokers older than 40 years. Etiologies can be grouped according to whether the onset/duration is acute (e.g., infectious), subacute ...

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