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Medicine

Is there an association between periodontitis and obstructive sleep apnea?

This summary is based on the article published in the Journal of Periodontal Research: The association between periodontitis and obstructive sleep apnea: a preliminary study (August 2013) Context Periodontitis is becoming a highly prevalent disease worldwide. Obstructive sleep apnea is a common disorder that is characterized by repeated disruptions in breathing during sleep, and mouth breathing is a common characteristic among patients with obstructive sleep apnea. Purpose The study aimed to assess the hypothesis that obstructive sleep apnea is associated with the onset and progression of periodontal disease. Key Messages The study identified that there is a significant association between obstructive sleep apnea and periodontitis. ...

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What are the clinical considerations for dental implant therapy in irradiated head and neck cancer patients?

This summary is based on the article published in the Journal of Prosthodontics: Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients (August 2013) Context An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant-supported dentures are a viable option when patients cannot use conventional dentures due to adverse effects of radiation therapy, including oral dryness or fragile mucosa, in addition to compromised anatomy. However, negative effects of radiation, including osteoradionecrosis, are well documented in the literature, and early loss of implants in irradiated ...

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Are there underlying psychological factors for tooth wear?

This summary is based on the article published in Special Care in Dentistry: The psychology of tooth wear (January/February 2013) Context Tooth wear, also referred to as tooth surface loss (TSL) or non-carious TSL, has been defined as the “pathological loss of tooth tissue by a disease process other than dental caries”. The etiological factors of tooth wear include attrition, erosion and/or abrasion. Purpose of the Study Review the main psychological and mental conditions that are manifested dentally in the form of tooth wear. These conditions include depression, eating disorders, and alcohol and drug use disorders. Review the comorbidity of ...

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What should you tell your patient about quitting smoking?

This fact sheet is courtesy of the Centers for Disease Control and Prevention: Smoking and Tobacco Use PDF version  Do you have any particular question on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca You are invited to comment on this post and provide further insights by posting in the comment box which you will find by clicking on “Post a reply“ below. You are welcome to remain anonymous and your email address will not be posted.  

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How do you manage a patient undergoing an allogeneic bone marrow transplant?

This question was submitted to us by a general dentist: How should we manage a patient undergoing an allogeneic bone marrow transplant? Dr. Jeff Chadwick, at Princess Margaret Cancer Centre, Dental Oncology, Ocular, and Maxillofacial Prosthetics Group, provided a preliminary response to this question The allogeneic bone marrow transplant (BMT) is a medical procedure that may be employed for the treatment of several hematologic malignancies including, but not limited to, aplastic anemia, myelodysplastic syndrome, acute and chronic leukemias and lymphomas. BMTs typically involve the insertion of a central venous catheter (CVC), high dose chemotherapy and, in some cases, total body irradiation, prior ...

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Are there adverse drug reactions to local anesthetics?

This summary is based on the article published in the Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology journal: Adverse drug reactions to local anesthetics: a systematic review (March 2013) Context  Local anesthetics (LAs) are widely used, especially in oral and ophthalmologic treatments. The types, doses, means of administration of LAs, and combined drugs are the main factors that could induce adverse drug reactions. Purpose of the Review Analyze adverse drug reactions (ADRs) associated with local anesthetics (LAs) and to characterize the safety profile of LAs in clinical application. Results A total of 922 articles were retrieved, and 101 of them, containing 1,645 events, ...

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Are there any interventions for treating oral lichen planus?

This summary is based on the Cochrane Review: Interventions for treating oral lichen planus (July 2011)   Context Oral lichen planus (OLP) is a common chronic autoimmune disease associated with cell-mediated immunological dysfunction. Symptomatic OLP is painful and complete healing is rare. It is a condition where there are long-term, painful areas on the lining of the mouth. The treatment is for reducing pain but there is no cure for this disease. Usual treatment is steroid ointment applied directly to the painful areas. This review found no research evidence to show that one type of steroid is better or worse than another. ...

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At a glance: what are the common medical conditions that predispose patients to dental problems?

This post is based on the section on “Dental care for patients with systemic disorders” of the MERCK Manual website Hematological Disorders Disorders that interfere with coagulation which require consultation with the patient’s general practitioner.  Cardiovascular Disorders Cardiovascular disease is a disease of the heart blood vessels which includes numerous problems. Many of these problems are related to a process called atherosclerosis, a condition that develops when a substance called plaque builds up in the walls of the arteries.  Cancer Extracting a tooth adjacent to a carcinoma of the gingiva, palate, or antrum facilitates invasion of the alveolus (tooth socket) ...

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