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Supporting Your Practice

When do you really need to prescribe a fluoride complement for your patients?

The following question was submitted by a general dentist: Our patients can no longer purchase Oral B Fluorinse. Does anybody have an alternative daily and weekly fluoride rinse they can recommend? This initial quick response is presented by Dr. Getulio Nogueira, from the Faculty of Dentistry at the University of Toronto in collaboration with experts: Dr. Walter Siqueira (Western University, Canada) and Dr. Jaime Cury (Faculty of Dentistry, UNICAMP, Brazil) Clinical Question When do you really need to prescribe a fluoride complement for your patients? The Fact It has been confirmed that Oral B Fluorinse is no longer available in Canada. Since ...

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What is the role of hand sanitizers or alcohol rubs and can they be used instead of hand washing?

This question was submitted by a general dentist: What is the role of hand sanitizers or alcohol rubs and can they be used instead of hand washing? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Hand hygiene practice is only efficacious when there is compliance. The simple message is “practice good hand hygiene for every patient, every time!” As long as hands are not soiled, alcohol-based hand-rubs may be utilized for hand hygiene and can be used as an adjunct or an alternative to washing with soap and water. The key word is ...

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What is the best outerwear for our facility?

This question was submitted by a general dentist: What is the best outerwear for our facility? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response There is a variety of outerwear utilized in Canadian dental offices. The rationale for this variety ranges from personal comfort (including body temperature control) to patient perception of the office personality (relaxed/professional/surgical). The type of outerwear will determine hand hygiene procedures. Many offices have adopted use of scrubs or short-sleeved shirts and tee-shirts. Bare arms will need to be washed to the sleeves level when aerosol production has ...

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Why Should I wear outerwear and how often should I change it?

This question was submitted by a general dentist: Why should I wear outerwear and how often should I change it? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Outerwear is worn to prevent exposure of street clothes and operator’s skin to saliva and blood when aerosols are produced. Outerwear should be changed whenever visibly soiled or daily, whichever comes first.       Do you need further information on 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 ...

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Video Procedure: What is root canal therapy?

This video procedure is available on the Dental Procedure Education System (DPES) of the Faculty of Dentistry at the University of Toronto The video was developed by Dr. Karina Roth Context When the pulp is injured or diseased and is unable to repair itself, it becomes inflamed and will eventually become necrotic (i.e., dead). Root Canal Therapy must, therefore, be instituted in order to avoid the spread of inflammation and infection to the tissues surrounding the diseased tooth. Take appropriate radiographs. Perform the necessary tests to verify the offending tooth and establish an accurate diagnosis: The cold test The electric ...

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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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