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Supporting Your Practice

How do I manage persistent idiopathic facial pain?

This Urgent Care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Gary Klasser. The USC is also available on Oasis Help Definition Constant, unremitting pain (often perceived within deep tissues) presenting extraorally and/or intraorally with variable and fluctuating intensity. Also known as continuous neuropathic orofacial pain (formerly known as atypical odontalgia, atypical facial pain or phantom tooth pain).   Resources De Leeuw R, editor. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. 4th ed. Chicago: Quintessence Publishing; 2008. Sharav Y, Benoliel R, editors. Orofacial Pain and Headache. 1st ed. Edinburgh: Elsevier Limited; 2008. Moulin DE, Clark AJ, Gilron I, Ware MA, Watson CP, Sessle BJ, ...

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What is enamel-dentin-pulp fracture and how is it treated?

This post is an adaptation of the Enamel-dentin-pulp fracture article found in the Dental Trauma Guide A fracture involving enamel and dentin with loss of tooth structure and exposure of the pulp.   Etiology   Diagnosis Description: A fracture involving enamel and dentin with loss of tooth structure and exposure of the pulp. Visual signs: Visible loss of enamel and dentin and exposed pulp tissue. Percussion test: Not tender. If tenderness is observed evaluate the tooth for luxation or root fracture injury. Mobility test: Normal mobility. Sensibility test: Usually positive. The test is important in assessing risk of future healing complications. A lack of response at ...

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Quick Response: What determines how I wash my hands and with what agent?

This question was submitted by a general dentist: What determines how I wash my hands and with hat agents? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response     The answer to this question depends on the treatment being performing and whether or not you wish to have sustained antimicrobial action (substantivity) following hand washing. Hands are always washed just prior to gloving and immediately upon removal of gloves. When performing critical procedures, such as surgery, the guidelines suggest the use of a surgical scrub using an antimicrobial soap. Consideration should also ...

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Video Presentation: How are implant abutments placed?

This video presentation is available through the School of Dentistry at the University of Michigan The video is presented by Dr. Jeffrey Shotwell, Associate Professor Emeritus of Dentistry, Department of Prosthodontics, School of Dentistry Context Determine and mark the physical location of the implants on the model. Block the model art to make the x-ray and surgical guides. The barco aspect of the redraft guide is contoured to simulate where the final gingival margin is preferred to end up on the restoration.    Watch the video   Do you need further information on this topic? Do you have any comments or ...

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How do I manage traumatic pulp exposure of primary tooth in very young children?

This Urgent Care Scenario is presented by the JCDA Oasis Team in Collaboration with Dr. Sahza Hatibovic. It is also available on Oasis Help Definition Upper incisors missing mesial or distal corner of the tooth with pulp exposure. Oral trauma is an unpredictable, painful, and stressful event for the child and family. Behaviour management is crucial: a calm soothing approach by the dental team can minimize stress for the entire family. A child with oral trauma seeing a dentist for the very first time may be uncooperative and may need to see a pediatric dentist. Resources American Academy of Pediatric Dentistry. ...

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In mixed-dentition patients, what is the short-term effectiveness of functional appliances (FAs) compared to untreated controls on mandibular dimensions?

This Systematic Review Summary is adapted from the article published on the ADA Center for Evidence-Based Dentistry website: The effects of functional appliances on mandibular growth during mixed dentition are unlikely to be of clinical importance Read the full commentary Clinical Question In mixed-dentition patients, what is the short-term effectiveness of functional appliances (FAs) compared to untreated controls on mandibular dimensions? Main Results Four RCTs met the inclusion criteria (338 participants, of which 168 were in the treatment group and 170 in the control group). Heterogeneity in age, interventions, and outcomes were observed, and follow-up times ranged from 15 to 18 months. Two ...

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How do I manage pain accompanied with dental caries in primary teeth?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Alan Milnes. It is also available on Oasis Help Definition Pain usually associated with a carious lesion that is obvious clinically or radiographically Resources American Academy of Pediatric Dentistry Reference Manual. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2011; 33(6):212-9. Coll JA. Indirect pulp capping and primary teeth: Is the primary tooth pulpotomy out of date? Pediatr Dent. 2008;30(3):230-6. Coll J, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18(1):57-63. Huth K, Paschos E, Hajik-Al-Khatar N, Hollweck R, Crispin A, ...

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Quick Response: Why do I have to wash my hands, if I am wearing gloves?

This question was submitted by a general dentist: Why do I have to wash my hands, if I am wearing gloves? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Hand hygiene is performed because hands are a potential source of contamination to the patient, when placing gloves or during treatment. Microorganisms grow exponentially in the warm moist environment of the glove. If a glove becomes compromised during treatment, there is more protection to the patient, if the hands have been washed and perhaps even more if they were washed using an antimicrobial ...

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