This question was submitted by a general dentist: A patient presents with an oral infection for which I would like to consider antibiotics as part of overall care. However, she has a history of C.Difficile infection and there is concern that the antibiotic chosen might reactivate the residual C.Difficile in her gut. What is the best […]
Derived from the Chronic Orofacial Pain Workshop of the Network for Canadian Oral Health Research, IMHA, Canadian Institutes of Health Research, Montreal, November 2013 Gilles Lavigne, DMD, PhD, FRCD, Professor, Faculté de médecine dentaire, Université de Montreal Mary Lynch, MD FRCPC,Professor Anesthesiology Psychiatry Pharmacology,Dalhousie University, To understand the misuse of prescription opioid analgesics (POA), it […]
This summary is based on the article published in the British Journal of Oral and Maxillofacial Surgery: Safety of local anaesthesia in dental patients taking oral anticoagulants: is it still controversial? (January 2012) Purpose of the Study To investigate the safety of local infiltration techniques and the inferior alveolar nerve block (IANB) in dental patients taking oral anticoagulants. […]
This summary is based on the article published in the Journal of Neuroscience: Drug-Evoked Synaptic Plasticity Causing Addictive Behavior (November 2013) Context The core element of the addiction process: an initially neutral stimulus becomes attractive when associated with drug consumption, and even after prolonged periods of abstinence this cue may trigger craving and cause the subject to relapse. Therefore, many researchers […]
This summary is based on the article published in the Journal of the American Dental Association: Prevention of prescription opioid abuse: the role of the dentist (July 2011) Full-text article (PDF) Context Opioids are analgesics that have potential for misuse, abuse or addiction. Up to an estimated 23 percent of prescribed doses are used non-medically. As prescribers of 12 […]
Canadian medical regulatory authorities undertook guideline development in response to: Physicians and other stakeholders seeking guidance regarding safe and effective use of opioids A growing concern about opioid misuse creating patient and public safety issues, and The lack of systematically developed national guidelines on opioid use for CNCP. Canadian Guideline for Safe and Effective Use […]
This is a follow-up post to the Refresher: Why use anti-infectives? A number of dentists inquired about the pediatric doses for the anti-infectives mentioned in the post. Sources of information: Lexicomp and e-Therapeutics.ca Amoxicillin Children ≤3 months: Oral: 20-30 mg/kg/day divided every 12 hours Children >3 months and <40 kg: Oral: 20-100 mg/kg/day in divided […]
This question was submitted by a general dentist: Is there a resource with current information on appropriate oral care for severely disabled and G tube-fed population? There are many position papers and guidelines indicating that this population needs care. However, I found only limited information on the actual clinical treatment provided to them and on […]