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Supporting Your Practice

How Do I Manage A Patient Who Is On Anticoagulants?

We are very pleased to present this series of videos by Dr. Mark Donaldson, Director of Pharmacy Services at the Kalispell Regional Medical Center and faculty member at the University of Montana and the Oregon Health & Sciences University There is no such thing as medical clearance. In fact, the dentist retains the primary responsibility for the procedures carried out for the immediate management of many untoward complications. While it is always prudent to get a consult with a medical practitioner, such as the patient’s primary prescriber or cardiologist, at the end of the day, the onus is on the dentist ...

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Do You Know Your Ibuprofen?

 This Prescription Drug Consult is presented by the JCDA Oasis Team. It is also available in JCDA Oasis Mobile Ibuprofen  Addaprin [OTC]; Advil® [OTC]; Caldolor®; I-Prin [OTC]; Ibu®; Midol® Cramps & Body Aches [OTC]; Motrin® Infants’ [OTC]; NeoProfen Presentation Ibuprofen is a Non-Steroidal Anti-Inflammatory Drug (NSAID) which could be administered orally and through I.V. Ibuprofen is prescribed for inflammatory diseases, analgesia, dysmenorrhea, and as an antipyretic. Dosage Analgesic Children: < 4-10 mg/kg/dose every 6-8 hrs. Adults: 200-400 mg/dose every 4-6 hrs (maximum daily dose: 1.2 g, unless directed by physician). Analgesic, antipyretic: (Consult physician if treatment for > 10 days is required) Children 6 months to 11 years: Use of weight to select ...

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How Effective Is the Neuromuscular Occlusion Approach in diagnosing and treating TMD?

This summary is based on the Rapid Response Report developed by the Canadian Agency for Drugs and Technologies in Health:  Neuromuscular Occlusion Concept-based Diagnosis and Treatment of Tempromandibular Joint Disorders: A Review of the Clinical Evidence  Full Report (PDF) Key Messages Diagnosing TMD: The use of electromyograms (EMG) is not supported by evidence. There is insufficient evidence to determine the diagnostic value of kinesiography. Treating TMD: Electrical stimulation is not supported by evidence. The efficacy of occlusal splints is uncertain. Context Temporomandibular disorder (TMD) is a group of clinical problems involving the chewing muscles, the temporomandibular joint (TMJ), and related structures. Symptoms may ...

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How Can I Treat A Patient With Previous Myocardial Infarction (MI)?

This medical Condition Consult is presented by the JCDA Oasis Team. The consult is also available through the JCDA Oasis Mobile Myocardial infarction (MI) is a consequence of obstruction in the coronary artery blood supply to the heart, resulting in death of the myocardium. Predisposing risk factors include atherosclerosis (thickening of arterial wall caused by the accumulation of lipid plaques), obesity, smoking, hyperlipidemia, family history of MI, and undue stress.   LA/Vasoconstrictors Drug Interactions Use vasoconstrictors with caution, due to increased risk for adverse outcomes1. Increased risk of cardiac arrhythmias in patients taking digitalis (e.g., digoxin).2. Increased risk of a ...

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Case Solution: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here You can view the Case Follow up here Case Solution Periapical osseous dysplasia (formerly known as periapical cemental dysplasia or PCD) is classified as a bone dysplasia, in which normal cancellous bone is replaced by a combination of abnormal, disorganized bone and fibrous connective tissue. In periapical osseous dysplasia, the mineralized component of ...

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Do Automated External Defibrillators (AEDs) have an impact on outcomes in health-care settings?

This question was submitted by a practising dentist: AEDs have become somewhat of a comfort object in a number of our offices emergency kit. Recently, a physician colleague commented on the generally unfavourable morbidity/mortality outcomes despite the use of AEDs to re-establish cardiac activity. Is this true?? Dr. Alan Lane, anaesthesiologist at the Ottawa General Hospital provided this initial response: I would say the literature supports that view. Reports indicate that the rate of successful hospital discharge for out-of-hospital cardiac arrests (OOHCA) is around 5%. Sudden OOHCA survival depends on adequate bystander CPR, on successful early defibrillation of a shockable ...

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How do I manage a patient who swallowed or aspirated parts of an orthodontic appliance?

This Dental Urgent Care Scenario (USC) is adapted and presented by the JCDAOASIS team in collaboration with Dr. James Noble of Orthodontics at Don Mills in Toronto You can find the full USC on JCDAOasis Mobile Context Patients receiving orthodontic treatment are at a very high risk of having appliances swallowed into the oropharynx during treatment due to the small size of brackets and clipped wires. Orthodontic appliances that can be swallowed include wires, brackets, transpalatal arches, temporary skeletal anchorage devices, and keys for expanders and removable appliances among others. Foreign bodies entering the alimentary canal rarely represent a serious ...

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Burning Mouth Syndrome (BMS): what should you know?

This Dental Urgent Care Scenario (USC) is adapted and presented by the JCDAOASIS team in collaboration with Dr. Deepika Chugh and Dr. David Mock You can find the full USC on JCDAOasis Mobile Context Burning Mouth Syndrome (BMS) is an idiopathic burning sensation of the oral mucosa with no apparent underlying cause. Although the origin of the condition is unknown, there is possible evidence of a neuropathic basis. BMS is most found in middle-aged and elderly people, predominantly in perimenopausal and postmenopausal women. Signs & Symptoms Usually, onset is spontaneous, but previous trauma or dental treatment may be precipitating factors Most commonly ...

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