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Medicine

A Primer on Maxillary Defects

Dr. John O’Keefe spoke with Dr. Angela Wong and Dr. Ruth Aponte Wesson, maxillofacial prosthodontists, about maxillary defects. Dr. Angela Wong, DMD, MS, FRCD(C) is a Maxillofacial Prosthodontist currently in private practice in Calgary, Alberta. Dr. Ruth Aponte Wesson, DDS, MS, FACP is a Maxillofacial Prosthodontist and Associate Professor at the University of Texas MD Anderson Cancer Center. Highlights Etiology Maxillary defects can present at birth as with cleft lip and palate or they can be acquired during life. Most acquired maxillary defects are caused by cancer, other causes include infection, trauma or other diseases. Oral cancer makes up about 3% ...

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CE Showcase: Dementia – Best Clinical Practices for Health Care Professionals

Ms. Yvonne Poulin, Registered Massage Therapist and Elder Planning Counsellor, spoke with Dr. Chiraz Guessaier about the course she is offering to dental teams about dementia and its relevance to dentistry. The course is titled: Best clinical practices for health care professionals. To contact Yvonne, please email her at: info@dementiacareexpert.com Course website: courses.dementiacareexpert.com Review the Course Syllabus    

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Dentistry and Geriatrics in Ireland

Dr. John O’Keefe spoke with Dr. Anne Twomey, past President of the Irish Dental Association and who recently addressed the Irish Gerontologist’s Society. The society is composed of consultant geriatricians who are strong advocates for multidisciplinary team approaches in caring for patients; however, no dentist had spoken to this organization to date. As such, Dr. Twomey shared her experiences and insights gained from her practice with their members. Highlights Better outcomes for patients can be expected, if dentists are included in patient care early in their overall care plan. Preventive care is very important for elderly patients. There are several ...

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Myth or Truth: Is Flossing Safe During Cancer Therapy?

Drs. Debbie Saunders and Joel Epstein dispel the myth about the safety of flossing for patients undergoing cancer therapy. Dr. Debbie Saunders is a Dentist and Medical Director of the Dental Oncology Program, Health Science North, in the North East Cancer Center. She is also Assistant Professor in the Norther Ontario School of Medicine.  Dr. Joel Epstein is Professor and Medical Director Cancer dentistry at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Health System in Los Angeles and the Division of Otolaryngology and Head and Neck Surgery in City of Hope.  Highlights Flossing is fundamental in reducing inflammation in the gingival tissues. It ...

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Evidence-Based Recommendations for Analgesic Efficacy to Treat Pain of Endodontic Origin

Dr. Anita Aminoshariae, Director of Predoctoral Endodontics in the School of Dental Medicine at Case Western Reserve University, spoke to Dr. Chiraz Guessaier regarding evidence-based recommendations with respect to the analgesic efficacy when treating pain of endodontic origin. Third molar extraction usually serves as the pain model for evaluating analgesic efficacy. However, these patients are usually young without any comorbidities or significant health risks or issues. Endodontic patients, typically, are older individuals who may be taking medications for existing conditions and have periapical infection and/or pulpal inflammation. Key Findings • NSAIDS are the drug of choice unless there are clear ...

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Myth or Truth: Is active periodontal care not safe during chemotherapy or radiation?

Drs. Debbie Saunders and Joel Epstein dispel the myth about providing periodontal care for patients undergoing chemotherapy or radiation.  Dr. Debbie Saunders is a Dentist and Medical Director of the Dental Oncology Program, Health Science North, in the North East Cancer Center. She is also Assistant Professor in the Norther Ontario School of Medicine.  Dr. Joel Epstein is Professor and Medical Director Cancer dentistry at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Health System in Los Angeles and the Division of Otolaryngology and Head and Neck Surgery in City of Hope.  Highlights There is often confusion about whether patients that are undergoing ...

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What are some of the implant complications associated with systemic disorders and medications?

This summary is based on information found in Dental Implant Complications: Etiology, Prevention, and Treatment, 2 (Wiley Publishing, 2015) Key messages Patient selection is the critical factor for implant success and survival in any medically complex situation. When medical conditions are managed wisely, most patients have improved overall health with fixed replacements as opposed to removable appliances. Exceptional care must be taken so that any implants placed will be successful and safe for the clinician and the patient. It is essential to routinely review the literature and expect that protocols for patients with systemic diseases or taking medications will be regularly updated as our knowledge of dental implants advances.   Although ...

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Depression and Anti-Depressants with Dr. Aviv Ouanounou

Dr. Aviv Ouanounou comes back to speak about depression and anti-depressant medication and the main considerations in treating patients who are taking anti-depressants. Highlights  Depression is a common disease that affects the elderly and is the 4th highest cause of disability worldwide. The disease can affect not only the individual diagnosed with depression but, also his/her family and friends. Genetics, biochemical imbalances, stress, personality type, certain medications as well previous depressive episodes can predispose one to depression. Signs and symptoms vary from one individual to another but include suicidal thoughts, sadness, low self-esteem, disturbed sleep patterns and irritability. Types of ...

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