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Oral Care in Cancer Therapy: Oral Care During Cancer Therapy

This second segment of the six-part series of oral complications in cancer treatment deals with fungal infections, most commonly candidiasis. See also: Oral Care in Cancer Therapy Part 1: Oral Care Pre-Head & Neck Cancer TreatmentOral Care in Cancer Therapy Part 3: Oral Care During Cancer Therapy Candidiasis or condidosis is an overgrowth of a commensal organism. The infection usually involves C. albicans, but C. krusei, dublinensis and torolopsilosis are also seen. It is important to note that resistance has been noted to medications by Candida spp. Etiology Due to systemic immune effects Extremes of age Malnutrition Cytotoxic CT Immune T-cell defects (HIV, ...

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Oral Care in Cancer Therapy: Oral Care Pre-Head & Neck Cancer Treatment

Drs. Deborah Saunders and Joel Epstein return to Oasis Discussions to discuss oral care before, during and after head and neck cancer treatment. See also: Oral Care in Cancer Therapy Part 2: Oral Care During Cancer TherapyOral Care in Cancer Therapy Part 3: Oral Care After Head & Neck Cancer Treatment Cancer is the leading cause of mortality in the world and it is expected to continue to grow. Infection-related cancers such as HPV, EBV and HCV are expected to play an important role in this increase. It is forecasted that a dentist will see ~1.3 newly diagnosed case of ...

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CE Showcase ASM 2017: Medical Emergencies in the Dental Office – Medical Emergencies in Life!

It was a pleasure to meet and speak with Dr. Mel Hawkins for this interview. Generously, he prepared these slides to tell our audience what his session on medical emergencies will be about during ASM 2017. I hope you enjoy the conversation. Chiraz Guessaier, CDA Oasis Manager Highlights Dentists are treating an aging and pharmacologically drug dependent and ambulatory population. How can they be expected to respond/react to life-threatening situations when they “almost never occur” – or do they? Simplicity! Practical equipment adjuncts, a few good drugs, “red flags,” and understanding vasoconstrictor interactions, local anesthetic maximum doses, especially related to ...

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Craniofacial Implications of Osteogenesis Imperfecta

I had the pleasure to speak with Dr. Jean-Marc Retrouvey and view his presentation on the craniofacial implications of osteogenesis imperfecta. This is a disease that causes weak bones that break easily. It is also known as brittle bone disease where bones sometimes break for no known reason. OI can also cause many other problems, such as weak muscles, brittle teeth, and hearing loss. Dr. Retrouvey delved into the implications of treating patients that suffer from OI and what the possible treatments are. Chiraz Guessaier, CDA Oasis Manager Highlights Dr. Jean-Marc Retrouvey presents various craniofacial aspects of osteogenesis imperfecta. This is ...

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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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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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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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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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