Home » Supporting Your Practice » Medicine (page 10)

Medicine

New Oral Anticoagulants (NOACs): A comparison

This summary is based on the article published in the Canadian Family Physician: Approach to the new oral anticoagulants in family practice. Part 1: comparing the options (November 2014) James Douketis MD FRCPC, Alan David Bell MD CCFP, John Eikelboom MB BS FRCPC, and Aaron Liew MB BCh MRCPI PhD You can access the full-text article here.   Intent of the article To compare key features of the new oral anticoagulants (NOACs)—dabigatran, rivaroxaban, and Apixaban, and to address questions that arise when comparing the NOACs. Main Messages All NOACs are at least as effective as warfarin for stroke prevention in patients ...

Read More »

What are some of the widespread misconceptions about obesity?

This summary is based on the article published in Canadian Family Physician: Widespread misconceptions about obesity (November 2014) Jean-Philippe Chaput PhD, Zachary M. Ferraro PhD, Denis Prud’homme MD MSc FRCPC, and Arya M. Sharma MD PhD FRCPC Related Article of Interest: Addressing the Obesity Epidemic: What Is the Dentist’s Role?   Context Although obesity can be a serious health threat, there is a lack effective strategies to address this condition on an individual and a societal level. Myths and misconceptions about obesity are pervasive in the media, popular culture, and scientific literature. As recently discussed in the New England Journal ...

Read More »

New Oral Anticoagulants (NOACs): FAQs

This summary is based on the article published in the Canadian Family Physician: Approach to the new oral anticoagulants in family practice Part 2: addressing frequently asked questions (November 2014) James Douketis MD FRCPC, Alan David Bell MD CCFP, John Eikelboom MBBS FRCPC, Aaron Liew MBBCh MRCPI PhD You can access the full-text article here.   Intent of the article To address common “what if” questions that arise relating to the long-term clinical follow-up and management of patients receiving the new oral anticoagulants (NOACs). Main Message What if a patient who is taking an NOACs needs dental work?  For patients who need teeth ...

Read More »

What are the oral health considerations for older adults with cognitive impairment? Treatment and Management

This summary is based on the article published in the Dental Clinics of North America: Cognitive Impairment in Older Adults and Oral Health Considerations. Treatment and Management (October 2014) Leonard J. Brennan, DMD, Jason Strauss, MD     Context Cognitive impairment is a disease or condition that presents in individuals causing them to have trouble remembering, learning new things, concentrating, or making decisions that affect their everyday life.1 Cognitive impairment is often first recognized by family and friends when a person begins to struggle with simple daily tasks.2 Then, as the impairments increase to a more severe level, the problems ...

Read More »

Dealing with systemic diseases in the elderly patient

This summary is based on the article published in Dental Clinics of North America: Systemic Diseases and Oral Health (October 2014) Mary Tavares, DMD, MPH; Kari A. Lindefjeld Calabi, DMD; Laura San Martin, DDS, PhD, MDPH           Context Inflammation has been recognized as the key factor that connects oral diseases and systemic chronic diseases. 1 Chronic diseases are defined as long-lasting illnesses, with duration of more than 3 months that affect a person’s life and require constant medical treatment. The complexity of dental treatment in the elderly is greater because of the effects of these chronic diseases, ...

Read More »

What are the oral implications of polypharmacy in the elderly?

This summary is based on the article published in Dental Clinics of North America: Oral Implications of Polypharmacy in the Elderly (October 2014) Mabi L. Singh, DMD, MS; Athena Papas, DMD, PhD       Context There are age-related changes in the systems of the body, which alter the pharmacokinetics and pharmacodynamics of medications and make the elderly more vulnerable to adverse events. A major side effects of medications is the qualitative and quantitative change the cause in saliva (salivary hypofunction), by their anticholinergic effects. With salivary hypofunction, a plethora of complications arise, resulting in decreased quality of life in the ...

Read More »

The Implications of Ebola for Dentistry – a webinar from ADA/CDC/OSAP

Dr. John O’Keefe is currently Chair of the Board of OSAP On Oct. 29, 2014, the American Dental Association (ADA), along with the Centers for Disease Control and Prevention (CDC) and the Organization for Safety, Asepsis and Prevention (OSAP), hosted a webinar to answer specific questions regarding the outbreak of Ebola and the implications for dental offices. The webinar is published below in four chapters, each one featuring a different speaker. In Chapter 1,  a physician at CDC outlines the latest medical knowledge about Ebola and its implications for healthcare workers. In Chapter 2, the President of the ADA speaks ...

Read More »

What are the treatment planning considerations in older adults?

This summary is based on the article published in Dental Clinics of North America: Treatment planning considerations in older adults (October 2014) Ella M. Oong, DMD, MPH and Gregory K. An, DDS, MPH       Context As U.S. population increasingly ages, older adults have retained more teeth than ever before. In recognition of treatment needs, older adults continue to seek dental care: from 2000 to 2011, dental utilization among older adults increased from 38% to 42%. 1 Purpose of the Review This article briefly describes the profile of older adults in the United States, and discusses the dynamic process of treatment ...

Read More »