Dr. Jessica Metcalfe prepared an Oasis presentation about the possibility of using silver diamine fluoride to arrest post-radiation caries. Silver diamine fluoride is fairly new in Canada; and to date its efficacy has only been proven with children and older adults. Through these cases, Dr. Metcalfe is exploring the possibility of helping patients who undergo radiation and experience dry mouth and subsequent caries. Dr. Metcalfe is staff dentist in the Department of Dental Oncology and Maxillofacial Prosthetics at Princess Margaret Hospital Cancer Centre. I hope you find the information valuable and we always welcome your feedback, suggestions and questions at oasisdiscussions@cda-adc.ca ...

I hosted Dr. Jesus Amadeo Valdez as the primary author of a recent article that was published in the Dental Clinics of North America. The article speaks about the importance of measuring the impact of oral cancer on the patients’ quality of health. The physical and financial impacts of such as devastating disease are well known and documented. However, the psychological impacts are less obvious and on some occasions form a communication barrier between the patient and their oral health care provider. We thought it would be beneficial to shed some light on such a topic.  Dr. Valdez is Chief resident ...

It was with much pleasure that I hosted once again Dr. Mark  Donaldson on CDA Oasis. Dr. Donaldson has been kind and most generous in sharing his recent publications as well as his expertise on very important pharmacological topics. Today he speaks to our audience about the liabilities dentists might incur when prescribing opioids in light opioid crisis experienced in North America.  Dr. Donaldson is senior executive director at Vizient Pharmacy Advisory Solutions as well as clinical professor in the Skaggs School of Pharmacy at the University of Montana. I hope you enjoy and benefit from the conversation. Always remember that ...

Highlights In this short presentation, Dr. Aviv Ouanounou discusses the possible adverse effects of administering local anesthetics. Psychogenic reactions include most commonly syncope, as well as hyperventilation, nausea, and changes in heart rate and blood pressure. Allergic reactions are usually very rare and if they occur, they are usually related to the ester type of local anesthetics. Paresthesia is a complication that may occur following the administration of local anesthesia. It usually resolves within 6-8 weeks. It is thought that 4% solutions of local anesthetic may have higher risk of causing paresthesia. Hematomas are also another complication. They will commonly ...

My interview with Dr. Michaell Huber served as a review of the current status and of the latest in the area of adjunctive diagnostic techniques for diagnosing and discovering oral and oropharyngeal cancer. Dr. Huber is Professor and specialist in oral medicine in the Department of Comprehensive Dentistry at UT Health San Antonio Dental School. He authored an article in the Dental Clinics of North America titled: Adjunctive Diagnostic Techniques to diagnose Oral and Oropharyngeal Cancer. I hope you find the information valuable and enjoy the conversation. Please share your thoughts, questions, and suggestions with us at oasisdiscussions@cda-adc.ca Until next time! ...

In December 2017, the Journal of the American Dental Association (JADA) published an article on guidelines for preventive dental care. In it, the authors attempted to bridge a perceived knowledge gap through the development of a clinical registry of dental outcomes in head and neck cancer patients.  Dr. Bob Wood, oral radiologist and forensic dentist at Princess Margaret Cancer Center, suggests that the article needs a careful interpretation and an appropriate contextualization of the individualized treatment provided to these patients.  I hope you find the information beneficial and you will share your thoughts, suggestions, and questions with us through oasisdiscussions@cda-adc.ca ...

In this post, we present an Oasis Critical Moment, a crossroad moment that arise every day in clinical practice and where the decision the practitioner takes, can make the difference between grief for him/her and the patient, or comfort for all concerned.  We have invited Dr. Bob Wood and Dr. Erin Watson to guide the management of this case. Dr. Bob Wood is an oral radiologist and forensic dentist; and Dr. Erin Watson is a general dentist, and they both practice out of Princess Margaret Cancer Center in Toronto.  Imagine this scenario You are performing a fairly routine denture try-in ...

Today, we bring you two interesting complex cases that were treated by Dr. Erin Watson, general dentist practicing out of Princess Margaret Cancer Center, and Dr. Irwin Golosky, Endodontist in Toronto.  Both cases deal with patients who are at higher risk for medication related osteonecrosis of the jaw (MRONJ). Educational information is also presented to frame the situation and provide relevance to the general dentist. In cases where it is possible to prevent MRONJ, treatment is somewhat straightforward. However, in other cases where there is already a risk of MRONJ, treatment is challenging and requires the tight collaboration of a ...