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Case Conference: Diagnosis and management of the white lesion with Dr. Aviv Ouanounou

Dr. Aviv Ouanounou from the University of Toronto comes back to present the diagnosis and management of the white lesion case that we presented in September on oasis Discussions.   View the initial case presentation            Watch the video presentation

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Both man's hands on breast because of hard breathing

How can I tell if my patient is in respiratory distress and what are the differential diagnoses?

When a patient is in respiratory distress, it is usually evident. However, it is important to consider certain factors to ascertain the cause of the problem and provide the appropriate treatment in a timely fashion. Download a PDF version of the table       Source: Medical emergencies in the dental office, Elsevier 2015.

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CDA Oasis Conversations: Dr. Archie Morrison speaks about the update to the systematic review on osteonecrosis of the jaw

In this short interview, Dr. Archie Morrison speaks about the update to the 2009 systematic review on osteonecrosis of the jaw.  List of authors and their affiliations (PDF) Highlights of the updated review Spontaneous resolution of ONJ is possible. Early treatment recommendations discouraged surgical intervention, with conservative therapy continuing indefinitely or until there was progression of disease. Others have had reasonable success with surgical management. There is still no comfortable proven treatment algorithm for the various stages of this disease. The International Task Force believes that surgical intervention is required for Stage 3 disease and for those Stage 2 patients that are ...

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Case Conference: How would you manage this case?

This case is presented by Dr. Aviv Ouanounou from the Faculty of Dentistry at the University of Toronto. Watch the Case Presentation   We welcome your input about this topic. You have the option to remain anonymous in leaving your feedback. Please note that all your comments are moderated by the CDA Oasis Team and no comments go live immediately. Your feedback is sent to us in the form of an email which is accessed by the CDA Oasis Team and is not shared by a third party. You can safely leave your name and email allowing us to contact you, ...

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Acetaminophen: a new foe?

This summary is based on the article published in the Journal of Endodontics: Acetaminophen: Old Drug, New Issues (May 2015) Anita Aminoshariae, DDS, MS, and Asma Khan, BDS, PhD Context The Food and Drug Administration (FDA) Drug Safety Communication states that ‘‘acetaminophen-containing prescription products are safe and effective when used as directed, though all medications carry some risks’’ (2). During the past decade, acetaminophen has been identified as the leading cause of acute liver failure in the United States, and up to 50% of the cases are caused by an unintentional overdose (3–6). In 2011, confirming acetaminophen as a dose-dependent ...

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Should vasoconstrictors be avoided in any patients with cardiovascular disease?

In patients at major risk of developing perioperative cardiovascular complications, vasoconstrictors should be used only in consultation with the patient’s physician who may recommend that vasoconstrictors be avoided. This high-risk category includes the following conditions: Acute or recent MI (between 7 to 30 days prior); Decompensated heart failure; and Significant arrhythmias (e.g., AV block, ventricular-related arrhythmia). Some studies have shown that very modest quantities of a vasoconstrictor are safe in these high-risk patients when accompanied by oxygen, sedation, nitroglycerin, and adequate pain control.   Source: Dental Secrets, Elsevier, 2015

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Is it safe to treat a patient who has undergone heart transplantation in an outpatient dental office?

Elective dental treatment should be avoided during the first 3 months after heart transplantation. During this period, various systemic complications and infections are common because the patient is receiving an intensive course of immunosuppressive medications. Emergency dental treatment can be provided in consultation with the patient’s physician. If treatment is required during these first 3 months, antibiotic prophylaxis should be administered. Emergency dental treatment should be completed only after consultation with the patient’s cardiologist. In the stable post-transplantation period (usually after 3 months, but the timing is determined in consultation with the physician), heart transplant patients can receive elective dental treatment. The use of prophylactic antibiotics during ...

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CDA Oasis Resource: Understanding Substance Use Disorders, Drug Diversion and Pain Management

This resource is provided courtesy of Wiley Publishing and the American Dental Association.  Read and download the resource in PDF     Watch the video presentation  

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