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Pharmacology

How justified are dentists in using antibiotics? A review

This summary is based on the article published in the International Dental Journal: Antibiotics in dental practice: how justified are we (February 2015) Sukhvinder S. Oberoi, Chandan Dhingra, Gaurav Sharma, Divesh Sardana Courtesy of Wiley Publishing, you can access the full-text article for the next 3 months here (PDF) Context Antibiotics are prescribed by dentists in dental practice, during dental treatment as well as for prevention of infection. Indications for the use of systemic antibiotics in dentistry are limited because most dental and periodontal diseases are best managed by operative intervention and oral hygiene measures. The use of antibiotics in ...

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What are the most common adverse drug reactions in dental practice?

This summary is based on the article published in Anesthesia Progress: Adverse Drug Reactions in Dental Practice (Spring 2014) Daniel E. Becker, DDS Context Adverse reactions may occur with any of the medications prescribed or administered in dental practice. Most of these reactions are somewhat predictable based on the pharmacodynamic properties of the drug. Others, such as allergic and pseudoallergic reactions, are less common and unrelated to normal drug action. Purpose of the Article To review the most common adverse reactions that are unrelated to drug allergy. Key Messages Sedatives, Opioids, and General Anesthetics Respiratory depression is the most significant ...

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Conversation Opener: Antibiotics prescribing patterns among health professionals in B.C.

Dr. David Patrick spoke with Dr. John O’Keefe about the prescribing patterns of antibiotics among health professionals in B.C. Dr. David Patrick is a medical doctor, Associate professor in the Division of infectious diseases, School of Population and Public Health at UBC, and Director of Epidemiology Services at the BC Center for Disease Control. To contact Dr. David Patrick by email: david.patrick@ubc.ca  Watch the video Additional resource  Fawziah M, George D, Chong M, Sutherland S, Patrick DM. Antibiotic prescribing by dentists has increased: why?. J Am Dent Assoc. 2016 Feb 5. doi: http://dx.doi.org/10.1016/j.adaj.2015.12.014 [Epub ahead of print]

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What are the expected benefits and potential harms of bisphosphonates for the treatment of osteoporosis?

This summary is based on the article published in the Canadian Family Physician journal: Bisphosphonates for treatment of osteoporosis. Expected benefits, potential harms, and drug holidays. A Clinical review. (April 2014) Jacques P. Brown MD; Suzanne Morin MD MSc; William Leslie MD; Alexandra Papaioannou MD; Angela M. Cheung MD PhD; Kenneth S. Davison PhD; David Goltzman MD; David Arthur Hanley MD; Anthony Hodsman MD; Robert Josse MD; Algis Jovaisas MD; Angela Juby MD; Stephanie Kaiser MD; Andrew Karaplis MD; David Kendler MD; Aliya Khan MD; Daniel Ngui MD; Wojciech Olszynski MD PhD; Louis-Georges Ste-Marie MD; and Jonathan Adachi MD Context  ...

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Does the sugar found in medications increase the risk of caries?

This summary is based on the article published in the Journal of the American Dental Association: Sugar content, cariogenicity, and dental concerns with commonly used medications (February 2015) Mark Donaldson, BSP, RPH, PharmD, FASHP, FACHE Jason H. Goodchild, DMD Joel B. Epstein, DMD, MSD, FRCD(C), FDS, RCS(Edin) Courtesy of the American Dental Association, you can access the full-text article for the next 3 months here (PDF) Context Oral adverse events such as cariogenicity are often overlooked as drug-associated effects because the sugar content of many medications may be negligible compared with the patients’ overall dietary intake of sugar. There are, ...

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Oasis Patient Resource: Dry Mouth

The Oasis Patient Resource is a series of tools that help dentists explain basic dental concepts and procedures to their patients. This video and additional materials are provided to dentists to use for patient information. If you are interested in using the video in your own practice, please email us at oasisdiscussions@cda-adc.ca and we will gladly provide you with the original Powerpoint presentation as well as the video file. You will then be able to customize it with your own logo and office information.  Download this Oasis Patient Resource: Dry Mouth (PDF)  Download the original Dry Mouth Pamphlet (PDF) Watch the video  Please note that you ...

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Dealing with systemic diseases in the elderly patient

This summary is based on the article published in Dental Clinics of North America: Systemic Diseases and Oral Health (October 2014) Mary Tavares, DMD, MPH; Kari A. Lindefjeld Calabi, DMD; Laura San Martin, DDS, PhD, MDPH           Context Inflammation has been recognized as the key factor that connects oral diseases and systemic chronic diseases. 1 Chronic diseases are defined as long-lasting illnesses, with duration of more than 3 months that affect a person’s life and require constant medical treatment. The complexity of dental treatment in the elderly is greater because of the effects of these chronic diseases, ...

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What are the oral implications of polypharmacy in the elderly?

This summary is based on the article published in Dental Clinics of North America: Oral Implications of Polypharmacy in the Elderly (October 2014) Mabi L. Singh, DMD, MS; Athena Papas, DMD, PhD       Context There are age-related changes in the systems of the body, which alter the pharmacokinetics and pharmacodynamics of medications and make the elderly more vulnerable to adverse events. A major side effects of medications is the qualitative and quantitative change the cause in saliva (salivary hypofunction), by their anticholinergic effects. With salivary hypofunction, a plethora of complications arise, resulting in decreased quality of life in the ...

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