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Supporting Your Practice

How about music for a pain reliever?

This summary is based on the news item available on the University of Alberta Faculty of Medicine and Dentistry website: Music decreases perceived pain for kids in pediatric ER: UAlberta medical research  Newly published findings by medical researchers at the University of Alberta provide more evidence that music decreases children’s perceived sense of pain. A clinical research trial was conducted with 42 children between the ages of 3 and 11 who came to the pediatric emergency department at the Stollery Children’s Hospital and needed IVs. Some of the children listened to music while getting an IV, while others did not. Researchers ...

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Are stevia and agave syrup healthier sweeteners than sugar?

This summary is based on the article published in the Globe and Mail (July 15, 2013): Are stevia and agave syrup healthier sweeteners than sugar? Question What’s the difference between agave syrup and stevia? Are they healthier than sugar? Response by Leslie Beck Agave syrup (agave nectar) and stevia are often perceived as more natural, or less highly processed, than table sugar and artificial sweeteners. Yet, both are derived from multistep processing methods. Agave syrup comes from the same plant that produces tequila, the blue agave plant that grows primarily in Mexico. The core of the plant contains aguamiel, the ...

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Codeine or other opioids: Which to use to relieve pain in pediatric patients?

This summary is based on the Rapid Response Report developed by the Canadian Agency for Drugs and Technologies in Health: Codeine Compared with Other Opioids for Pain Relief in Pediatric Patients: Comparative Clinical Effectiveness, Safety, and Guidelines Full Report (PDF) Research Questions What is the evidence for the clinical effectiveness of codeine compared with other opioids for pain relief in pediatric patients? What is the evidence for the safety of codeine compared with other opioids when administered to pediatric patients? What are the evidence-based guidelines regarding the use of codeine compared with other opioids for pain relief in pediatric patients? Key Messages Two non-randomized ...

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The “mobile microbiome”: journey beyond the mouth?

In this interview, Dr. Christopher McCulloch, Professor and Director of the Matrix Dynamics Group at the University of Toronto’s faculty of dentistry, presented his perspectives on a paper recently published in the Journal of Dental research (JDR) which reviews the latest contributions to dentistry’s understanding of the “oral health, total health” concept. JCDA: This JDR paper reviews the oral bacterial species that have been implicated in a variety of systemic infections and inflammation, such as atherosclerotic disease, adverse pregnancy outcomes, rheumatoid arthritis, inflammatory bowel disease and colorectal cancer, respiratory tract infections, and other organ inflammation and abscesses. How strong is ...

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Codeine and Acetaminophen: how safe and clinically effective are they?

This summary is based on the Rapid Response Report developed by the Canadian Agency for Drugs and Technologies in Health: Codeine and Acetaminophen for Pain Relief: A Review of the Clinical Efficacy and Safety Full Report (PDF) Context Pain has been defined as “an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage.” Pain can be classified as being either acute or chronic. The distinction between acute and chronic pain is usually based on a subjective interval of time since pain onset, the two most commonly used intervals being months and 6 ...

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What are minimum intervention dentistry (MID) principles and objectives?

This summary is based on the article published in the Australian Dental Journal: Minimum intervention dentistry principles and objectives (June 2013 Issue) Authors: LJ Walsh and AM Brostek Abstract Purpose: This review paper discusses the key principles of MID as a philosophy of patient care, and the practical objectives which flow into individual patient care. Minimum intervention dentistry (MID) is the modern medical approach to the management of caries, utilizing caries risk assessment, and focusing on the early prevention and interception of disease. Moving the focus away from the restoration of teeth allows the dentist to achieve maximum intervention, with minimal invasive treatments. The ...

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What should I do if a puncture injury occurs, resulting in bleeding?

This question was submitted by a general dentist: What should I do if a puncture injury occurs, resulting in bleeding? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response All offices should have an Office Infection Control Manual with post-exposure protocol developed utilizing information from their Provincial Dental Association. Additionally, one person in the office should be designated to assist when occupational injuries occur.  When an injury involves exposure to a healthcare worker from a patient’s blood, or other high risk body fluids with visible blood, the dental worker must report the injury to the designated person ...

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What is the etiology of tooth dysplasias?

This video presentation (31.43) is available through the School of Dentistry at the University of Michigan This video is presented by Dr. James P. Simmer, DDS, PhD, Professor in the Department of Biologic and Material Sciences at the University of Michigan Defects arising during tooth development Environment/systemic disturbance Enamel hypoplasia (fever) Fluorosis, Tetracycline staining Genetic Limited to teeth (non-syndromic) Dentinogenesis imperfecta Amelogenesis impeerfecta Affecting other parts of the body Osteogenesis imperfecta Syndromic amelogenesis imperfecta Key Messages Genetic consultation: improvements in DNA sequencing will allow whole exome or whole genome sequencing to identify mutations likely to cause the disease.  Defining the ...

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