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Supporting Your Practice

Does Your Patient Need Penicillin?

This Post is adapted from the Canadian Pharmacists Association (CPhA) Drug Monograph: Penicillin G/Penicillin V Product Summary Table Pharmacology Penicillins G and V, known as the natural penicillins, are bactericidal against susceptible organisms. Penicillins interfere with the synthesis of cell wall mucopeptides, resulting in the formation of defective cell walls that will lyse and eventually result in death of the organism. The spectra of activity of penicillins G and V are similar: Penicillin G is more active against gram-negative organisms (e.g., Neisseria) and some anaerobes than is penicillin V. Penicillin G can be given parenterally, enabling the attainment of high serum ...

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Is there evidence favouring one irrigant over another irrigant in root canal treatments?

This Systematic Review Summary is adapted from the British Evidence-Based Dentistry Journal Full Text (html) Full Text (PDF) Clinical Question What are the effects of irrigants used in the non-surgical root canal treatment of mature permanent teeth? Main Results Eleven trials (851 participants, 879 teeth) were included. Six trials were assessed at high risk of bias, three unclear and two low. Four compared sodium hypochlorite versus chlorhexidine, the other trials compared different interventions and only two of these trials included useable data on the primary outcomes of swelling and pain. Meta-analysis of sodium hypochlorite versus chlorhexidine indicated no strong evidence ...

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How do I manage a fallen or lost gingival graft?

This Urgent care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Terri Logue. It is also available through the Oasis Help system     Resources Parameter on mucogingival conditions. American Academy of Periodontology.J Periodontol. 2000;71(5 Suppl):861-2. Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, Townsend C, et al. Oral reconstructive and corrective considerations in periodontal therapy. J Periodontol. 2005;76(9):1588-600. Do you need further information about 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 by posting in the comment box which you will find by clicking on ...

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Quick Response: What are the guidelines for washing hands?

This question was submitted by a general dentist: What are the guidelines for washing hands if I am moving directly from one patient to another, such as when my hygienist asks me to perform an examination? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response The guidelines for hand washing state that hands should always be washed immediately after removing a pair of gloves and immediately before placing another pair of gloves. However, to be practical, if you are moving directly from one patient to another, remove contaminated gloves, hold your ...

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What are NSAIDs?

This Post is adapted from the Canadian Pharmacists Association (CPhA) Drug Monograph: Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Click here to view the Product Summary Table (web image) Click here to download the Product Summary Table (PDF) Indications and Clinical Use As anti-inflammatory, analgesic and antipyretic agents, NSAIDs provide symptomatic relief but do not cure the underlying disease. No NSAID has been proven superior for symptom relief. The choice of drug depends on individual risk factors, such as NSAID toxicity, individual patient response, compliance potential, dosage forms, cost and available evidence. For compliance, drugs with a long half-life or available in dosage ...

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Brief: When should you use anti-infective drugs?

This Summary is an adaptation of the Clinical Info on Medical Emergencies provided by the Canadian Pharmacists Association (CPhA) Consider the following when prescribing antibiotics: Use only when there is an indication. Use only when the risk-benefit ratio is favourable. They are not a substitute for establishing adequate drainage. Choose an effective agent with the narrowest spectrum of activity. Prescribe a therapeutic dose and consider a loading dose. Prescribe at an appropriate frequency and for an appropriate duration. Choose the drug with the fewest side effects. Consider laboratory culture and sensitivity tests to target specific bacteria with antibiotics identified as ...

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How do I treat a primary tooth intrusion?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Jennifer MacLellan. It is also available on Oasis Help Definition Intruded primary incisor following a traumatic injury Resources American Academy of Pediatric Dentistry. AAPD Reference Manual. Guidelines on management of acute dental trauma. [Revised 2011; accessed 2013 Mar 5]. Available:www.aapd.org/media/Policies_Guidelines/G_Trauma.pdf The University Hospital of Copenhagen and IADT. The dental trauma guide. [Accessed 2013 Mar 5]. Available from:www.dentaltraumaguide.org/Primary_Intrusion_Description.aspx Holan G, Ram D, Fuks A. The diagnostic value of lateral extraoral radiography for intruded maxillary primary incisors. Pediatr Dent. 2002;24(1):38-42. Holan G, McTigue D. Introduction to dental trauma: Managing traumatic injuries in ...

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How do I manage a traumatically displaced primary incisor?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Karen Campbell. It is also available on Oasis Help Definition Incidents of primary incisors displaced as a result of trauma caused by impact occur most often when the child’s gross motor skills and coordination are still under development. The younger the child, the more likely that total tooth displacement will occur, as opposed to tooth/root fracture. The pediatric alveolus by nature tends to be more elastic and will preferentially yield to the force of impact, resulting in total tooth displacement. Resources University Hospital of Copenhagen ...

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