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Supporting Your Practice

What is my role as a dentist in managing patients with obstructive sleep apnea syndrome?

This summary is based on the position paper published by the Canadian Sleep Society on the role of dentistry in managing obstructive sleep apnea: Position paper by Canadian dental sleep medicine professionals regarding the role of different health care professionals in managing obstructive sleep apnea and snoring with oral appliances Full Text (PDF) Context The present Canadian position paper contains recommendations for the management by dentists of sleep-disordered breathing in adults with the use of oral appliances (OAs) as a treatment option for snoring and obstructive sleep apnea (OSA). The recommendations are based on literature reviews and expert panel consensus. OAs offer an effective, ...

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Are current caries risk-assessment systems predictive of future caries?

This Systematic Review Summary is adapted from the British Evidence-Based Dentistry Journal Summary html Summary PDF Clinical Question Are current caries risk assessment systems predictive of future caries? Context The identification of high risk individuals to allow both prevention and intervention based on susceptibility to disease is commonplace in contemporary treatment planning. A systematic review of the literature by Harris et al in 2004 found ‘106 risk factors significantly related to the prevalence or incidence of caries’2. In general caries risk assessment systems standardise the risk factor information collected in order to predict potential caries outcome for the patient. Results ...

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What is a primary tooth concussion and how do you deal with it?

This post is an adaptation of the Concussion article found in the Dental Trauma Guide Concussion is an injury to the tooth-supporting structures without increased mobility or displacement of the tooth, but with pain to percussion and without gingival bleeding.   Etiology   Diagnosis Description: An injury to the tooth-supporting structures without increased mobility or displacement of the tooth, but with pain to percussion and without gingival bleeding. The diagnostic signs of concussion are transient. It is therefore not possible to diagnose concussion if the examination is done several days after injury. Visual signs: Not displaced. Percussion test: Tender to touch or tapping. ...

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Would you like to know more about managing patients with obstructive sleep apnea syndrome?

The Canadian Sleep Society is going to hold its bi-annual scientific meeting in Halifax October 4-6, 2013. One focus of this meeting will be on the role of dentistry in managing patients with obstructive sleep apnea syndrome. The following presentations should be of interest to those clinicians in the dental profession who would like to be involved in the care of sleep apnea patients. Pathophysiology of Obstructive Sleep Apnea Syndrome How to Diagnose Obstructive Sleep Apnea Syndrome The Role of the Physician and Dentist in Identifying Patients Who Should be Screened for Obstructive Sleep Apnea Treatment Options for the Sleep ...

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When do you really need to prescribe a fluoride complement for your patients?

The following question was submitted by a general dentist: Our patients can no longer purchase Oral B Fluorinse. Does anybody have an alternative daily and weekly fluoride rinse they can recommend? This initial quick response is presented by Dr. Getulio Nogueira, from the Faculty of Dentistry at the University of Toronto in collaboration with experts: Dr. Walter Siqueira (Western University, Canada) and Dr. Jaime Cury (Faculty of Dentistry, UNICAMP, Brazil) Clinical Question When do you really need to prescribe a fluoride complement for your patients? The Fact It has been confirmed that Oral B Fluorinse is no longer available in Canada. Since ...

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What is the role of hand sanitizers or alcohol rubs and can they be used instead of hand washing?

This question was submitted by a general dentist: What is the role of hand sanitizers or alcohol rubs and can they be used instead of hand washing? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Hand hygiene practice is only efficacious when there is compliance. The simple message is “practice good hand hygiene for every patient, every time!” As long as hands are not soiled, alcohol-based hand-rubs may be utilized for hand hygiene and can be used as an adjunct or an alternative to washing with soap and water. The key word is ...

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What is the best outerwear for our facility?

This question was submitted by a general dentist: What is the best outerwear for our facility? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response There is a variety of outerwear utilized in Canadian dental offices. The rationale for this variety ranges from personal comfort (including body temperature control) to patient perception of the office personality (relaxed/professional/surgical). The type of outerwear will determine hand hygiene procedures. Many offices have adopted use of scrubs or short-sleeved shirts and tee-shirts. Bare arms will need to be washed to the sleeves level when aerosol production has ...

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Why Should I wear outerwear and how often should I change it?

This question was submitted by a general dentist: Why should I wear outerwear and how often should I change it? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Outerwear is worn to prevent exposure of street clothes and operator’s skin to saliva and blood when aerosols are produced. Outerwear should be changed whenever visibly soiled or daily, whichever comes first.       Do you need further information on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca Your are invited to comment on this post and provide further insights ...

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