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Medicine

What’s recommended for invasive dental treatment in patients using oral antithrombotic medication, including novel oral anticoagulants?

This summary is based on the article published in the journal of Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology: Management recommendations for invasive dental treatment in patients using oral antithrombotic medication, including novel oral anticoagulants (December 2013) Denise E. van Diermen, MD, PhD, Isaäc van der Waal, DDS, PhD, and Johan Hoogstraten, PhD Context  Oral antithrombotic medication (OAM) has long been used successfully to treat a variety of thrombotic diseases, such as myocardial infarction, stroke, and deep venous thrombosis, and to prevent cardiovascular diseases.(1-4) For decades, doctors and patients have worried about the adverse side effects of these medicines, mainly consisting of bleeding complications, either spontaneously or ...

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CDA News: Are dentists contributing to prescription drug abuse?

On January 24th, 2014 Minister of Health Rona Ambrose and the Canadian Centre on Substance Abuse (CCSA) co-hosted a symposium on prescription drug abuse. Their objective: to identify measures to address prescription drug abuse under the National Anti-Drug Strategy.  Dr. Benoit Soucy, Director of Clinical and Scientific Affairs at the Canadian Dental Association (CDA), attended the symposium along with representatives from the healthcare sector, government, First Nations, and law enforcement.  Dr. John O’Keefe asked Dr. Soucy to tell us more about the symposium and the role dentists must play to combat the scourge of prescription drug abuse.    Listen to ...

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Is There an Association between Maternal Periodontitis and Adverse Pregnancy Outcomes?

By  Mohammad A. Javaid;  McGill University, Montréal, Québec  (currently at the University of British Columbia) Robert Durand;  Université de Montréal, Montréal, Québec Yannie Chea;  Private office, Montreal, Quebec Andrea Hsu;  Private office, Montreal, Quebec Simon D. Tran; McGill University, Montréal, Québec Access the Supplement Context Pregnancy is a normal physiological process that may sometimes result in adverse events like preterm birth, low birth weight (LBW) and/or pre-eclampsia. A multitude of risk factors may increase the incidence of these adverse pregnancy outcomes (APOs), including maternal periodontitis. Purpose of Review In this review, we present the most recent epidemiological evidence with regard ...

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The Bidirectional Relationship between Periodontitis and Diabetes: How Should Patients Affected by Either or Both These Diseases be Managed?

This summary is based on a series of articles published in the Journal of Clinical Periodontology (2013, 40 Supplement 14)

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Update with author’s response: What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?

This is an update of the summary presented on December 17th, 2013. Based on our readers’ comments and questions, we have sought answers from the author. Due to their importance, we chose to present those in an updated post.  Dr. Edmund Bailey What would be the recommended dosing and schedule for combining the two medications? And what would be the maximum dosing guideline? If rescue medications are required, what would be recommended and how would that be modified, if a patient has a codeine allergy? Based on this review, the ideal doses are 400mg ibuprofen and 1000mg paracetamol, both may ...

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How do you manage a child patient with an acute asthma exacerbation?

This post is based on the Canadian Medical Association guidelines for managing the paediatric patient with an acute asthma exacerbation Source: CMA Infobase: Clinical Practice Guidelines Database (CPGs) Access the resource in PDF Context Children with acute asthma exacerbations frequently present to an emergency department with signs of respiratory distress. The most severe episodes are potentially life-threatening. Effective treatment depends on the accurate and rapid assessment of disease severity at presentation. This statement addresses the assessment, management and disposition of pediatric patients with a known diagnosis of asthma who present with an acute asthma exacerbation, especially preschoolers at high risk for persistent asthma. Guidance includes the assessment of asthma severity, ...

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Your Opinion: How would you treat this case?

This case is presented by Dr. Neel Joshi I have a 17-year old female patient who has had viral gastroparesis for the past 4 years.  It’s a chronic condition that causes her to vomit and/or have stomach acids reflux in her mouth multiple times throughout the day. I don’t believe there is an associated eating disorder – she was diagnosed at Sick Kids Hospital. Her teeth have slowly eroded over time – not yet into the pulp or shortened, but I wish there was something I could suggest.  I have made custom Fluoride trays with neutral Fluoride and also have her ...

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What are the pathologic bone alterations in celiac disease?

This summary is basedon the article published in Nutrition: Pathologic bone alterations in celiac disease: Etiology, epidemiology, and treatment (January 2014, Supplement) Context  Low bone mineral density (BMD), osteopenia, and osteoporosis are frequent complications of celiac disease (CD). The etiology of pathologic bone alterations in CD is multifactorial; however, two main mechanisms are involved: intestinal malabsorption and chronic inflammation. A strict gluten-free diet (GFD) is thought to be the only effective treatment for CD; but treating bone complications related to CD remains complex. Purpose of the Review The review attempts to elucidate the bones problems related to CD and to increase awareness of osteoporosis development, considered ...

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