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Medicine

Feaured Jose

Opioids: The Good, The Bad and The Ugly…

My meetings with Dr. Jose Lança, from the University of Toronto’s Faculty of Dentistry and the Faculty of Medicine, are always so valuable in presenting and delivering extremely useful clinical information that supports every day clinical practice. This interview looks at the opioids crisis that is plaguing North American societies and the role of dentists in it.  Chiraz Guessaier, CDA Oasis Manager Highlights Opioids bind to opioid receptors in the brain. Upon binding to these receptors, opioids have various effects including: Analgesia Sedation/sleepiness Mood changes – dysphoria, euphoria Tolerance/addiction Cough suppression Miosis Endocrine effects Dermatologic effects – itching, sweating GI motility ...

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Featured Mark

Pharmacological Reversal Agents in Dental Practice: Keys to Patient Safety

I had the pleasure to host Dr. Mark Donaldson to speak about the important reversing drugs that are found in the dental emergency kit. Mark goes into detail addressing 6 reversal agents: Naloxone, Flumazenil, Epinephrine, Diphenhydramine, Phentolamine, and Atropine. Chiraz Guessaier, CDA Oasis Manager Highlights Though uncommon, medical emergencies in the dental office are harrowing occurrences that can be the result of adverse drug reactions. Pharmacological antagonists have been developed for administration as reversal agents in emergency situations in which patients may have an untoward effect, typically caused by too much medication. Dental practitioners should be familiar with these agents to ...

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Featured Joonyoung

Local Anesthetics for the Patient Suffering from Methemoglobinemia

Dr. Joonyoung Ji speaks with Dr. John O’Keefe about the risks of administering local anesthetics to patients suffering from methemoglobinemia. Highlights Scenario A patient has a scope performed in a hospital setting and benzocaine was used to numb the area before inserting the scope. Subsequently, the patient developed methemoglobinemia. The patient’s physician has now advised that all “-caine-type” anesthetics must be avoided in this patient for all dental work. Management Context is important to determine why a scope was performed and how the situation that developed was managed. Often, in medical settings the amounts of local anesthetics that are used ...

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Featured Mark

Herbal-Drug Interactions Important to Dentistry

Dr. Mark Donaldson spoke about the prevalence of herbal medicine and why it is important for dentists to know their interactions with more conventional drugs.   This topic is the focus of a CE course offered by Dr. Mark Donaldson. You can access the entire course material by following this link.  We would like to thank Dr. Donaldson for allowing us to share the course material.    

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Featured Angela

A Primer on Maxillary Defects

Dr. John O’Keefe spoke with Dr. Angela Wong and Dr. Ruth Aponte Wesson, maxillofacial prosthodontists, about maxillary defects. Dr. Angela Wong, DMD, MS, FRCD(C) is a Maxillofacial Prosthodontist currently in private practice in Calgary, Alberta. Dr. Ruth Aponte Wesson, DDS, MS, FACP is a Maxillofacial Prosthodontist and Associate Professor at the University of Texas MD Anderson Cancer Center. Highlights Etiology Maxillary defects can present at birth as with cleft lip and palate or they can be acquired during life. Most acquired maxillary defects are caused by cancer, other causes include infection, trauma or other diseases. Oral cancer makes up about 3% ...

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CE Showcase: Dementia – Best Clinical Practices for Health Care Professionals

Ms. Yvonne Poulin, Registered Massage Therapist and Elder Planning Counsellor, spoke with Dr. Chiraz Guessaier about the course she is offering to dental teams about dementia and its relevance to dentistry. The course is titled: Best clinical practices for health care professionals. To contact Yvonne, please email her at: info@dementiacareexpert.com Course website: courses.dementiacareexpert.com Review the Course Syllabus    

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Dentistry and Geriatrics in Ireland

Dr. John O’Keefe spoke with Dr. Anne Twomey, past President of the Irish Dental Association and who recently addressed the Irish Gerontologist’s Society. The society is composed of consultant geriatricians who are strong advocates for multidisciplinary team approaches in caring for patients; however, no dentist had spoken to this organization to date. As such, Dr. Twomey shared her experiences and insights gained from her practice with their members. Highlights Better outcomes for patients can be expected, if dentists are included in patient care early in their overall care plan. Preventive care is very important for elderly patients. There are several ...

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Myth or Truth: Is Flossing Safe During Cancer Therapy?

Drs. Debbie Saunders and Joel Epstein dispel the myth about the safety of flossing for patients undergoing cancer therapy. Dr. Debbie Saunders is a Dentist and Medical Director of the Dental Oncology Program, Health Science North, in the North East Cancer Center. She is also Assistant Professor in the Norther Ontario School of Medicine.  Dr. Joel Epstein is Professor and Medical Director Cancer dentistry at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Health System in Los Angeles and the Division of Otolaryngology and Head and Neck Surgery in City of Hope.  Highlights Flossing is fundamental in reducing inflammation in the gingival tissues. It ...

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