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Supporting Your Practice

How do you manage the patient with a dry socket (Alveolar Osteitis)?

This Urgent Care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Daisy Chemaly. The USC is also available through Oasis Help Complication of wound healing following the extraction of a tooth. The patient experiences severe throbbing pain caused by bone exposure at the site of extraction. Following the extraction, a blood clot forms at the socket to protect the bone. When the clot dislodges or dissolves prematurely, the nerves and bone become exposed, leading to pain.    Do you need further information related to this subject? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca ...

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What is the preferred technique for creating a post & core, using the Rely-X Fiber Post system?

In this short video (6.38), Dr. Richard Price, Professor and Head of Fixed Prosthodontics in the Department of Dental Clinical Sciences at Dalhousie University’s Faculty of Dentistry, demonstrates a technique for cementing a Rely-X post and building up a core foundation prior to the restoration of an endodontically treated tooth From the radiograph or from the endodontic treatment notes, estimate the desired length of the post after leaving 5 mm of Gutta Percha at the apex. Prepare canal to the correct post length. Save as much of the root and tooth structure as you can.   Choose a size of post that ...

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Case Conference Follow up: Exploring treatment alternatives for the unsatisfactory removable partial denture

Phase 2 of the Case Conference presented in collaboration with Dr. Bill Abbott from the International Team for Implantology (ITI)    A great number of dentists responded to questions related to the treatment challenge presented in this case. As we have committed to you, we are providing you with a summary of the responses received.   Responses to Question 1 Responses to Question 2 Responses to Question 3  View the Case video   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 ...

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What is the preferred technique for taking an impression for a cast post & core?

In this short video (2:36), Dr. Bob Loney, Professor and Chair of the Dental Clinical Sciences Department at the Faculty of Dentistry, Dalhousie University, demonstrates a technique that provides a bubble-free impression that won’t distort. Paint the impression tray with adhesive. Pack and remove retraction cord. Inject light-body polyvinyl siloxane impression material all around the completed crown preparation. ensuring to capture the crown margins. Squeeze some light-body material on to a pad and coat it over the length of a lentulo spiral filler on a contra-angle slow speed handpiece. Place the coated lentulo spiral filler down the canal where its ...

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Light Curing: So Easy, So Dangerous!

In these videos, Dr. Richard Price, Professor and Head of Fixed Prosthodontics in the Department of Dental Clinical Sciences at Dalhousie University’s Faculty of Dentistry, shares excellent clinical information related to light curing. The video has been divided into short theme section as follows:  Light curing so easy, so dangerous! Complete video (27 minutes) The perfect storm The success of 122+ million restorations and 16+ million sealants placed annually depends on the curing lights and how it is used. Do we have any evidence that resin restorations are not lasting as long as they could and should?  Various curing modes and irradience We ...

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How can I safely and efficiently remove gutta percha to prepare a post space? Video Demonstration

In this short video (1:56), Dr. Bob Loney, Professor and Chair of the Dental Clinical Sciences Department at the Faculty of Dentistry, Dalhousie University, demonstrates how to remove gutta percha from a root canal in order to prepare an adequate post space to support a restoration on an endodontically treated tooth.     Use non-end cutting drills to prepare the post space. Always start with the smallest size of Gates Glidden drill or Peeso reamer and work up to the size required to accommodate the desired size of a post. Size the instrument, referring to a radiograph of the tooth ...

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How Do I manage a patient with asthma?

  This medical Condition Consult is presented by the JCDA Oasis Team Asthma is a chronic inflammatory respiratory disease associated with increased airway hyper-responsiveness. Patients are sensitive to a variety of stimuli (e.g., cold air, salicylates, NSAIDs, cholinergic drugs, beta-adrenergic blocking drugs). No information available to require special precautions.   Prescribe the following with caution, due to likely adverse reactions: 1. NSAIDs, ASA-containing medications: Samter triad syndrome, an association of ASA sensitivity, ASA-induced asthma, nasal polyposis or sinusitis. 2. Barbiturates, narcotics: may precipitate an asthma attack.   Sulfite preservatives A coughing reflex and prolonged supine positioning. Consider semisupine chair position. ...

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Is inadequate osseointegration a concern in radiation-treated patients, if implants are treatment planned?

This question was submitted by a general dentist: Is inadequate osseointegration a concern in patients who have received radiation therapy for a head and neck malignancy if implants are treatment planned? Dr. Jeff Chadwick, at Princess Margaret Hospital, Dental Oncology, Ocular, and Maxillofacial Prosthetics Group, provided a preliminary response to this question Yes, however … As with most questions related to this patient population, the answer is: “it depends.” Careful examination is a vital step in determining which restorative/prosthodontic approach best suits the individual. Examination also mandates a thorough review of their cancer diagnosis as well as the constituents and sequence ...

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