This question was submitted by a general dentist: How do you treat a patient with scleroderma who has periodontal issues – advanced recession, stripping of the attached gingiva from the roots? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Systemic Scleroderma Systemic scleroderma is a relatively […]
This question was submitted by a general dentist: Is it safe to use vasoconstrictors in patients with sickle-cell disease? Which one is the best choice? Could I perform a painless dental extraction without vasoconstrictors in these cases? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Sickle Cell Anemia […]
This question was submitted by a general dentist: Are there recommended guidelines for reducing the incidence of shingles in a patient that has a history of developing shingles after dental care? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response. Shingles (herpes zoster) is the reactivation of the chicken […]
This summary is based on the review published in the Cochrane database of systematic reviews: Interventions for the management of dry mouth: non-pharmacological interventions (September 2013) Furness S, Bryan G, McMillan R, Birchenough S, Worthington HV Context Xerostomia is the subjective sensation of dry mouth. Common causes of xerostomia include adverse effects of […]
This summary is based on the article published in the International Journal of Oral and Maxillofacial Surgery: Do antibiotics decrease implant failure and postoperative infections? A systematic review and meta-analysis (January 2014) J. Ata-Ali, F. Ata-Ali, F. Ata-Ali Context Dental implants are an effective, safe and predictable solution for those who have […]
This summary is based on the article published in the British Dental Journal: General medicine and surgery for dental practitioners: part 3. Management of specific medical emergencies in dental practice (August 2014) M. Greenwood and J. G. Meechan Note: The article could contain medication that is not similarly labelled in Canada. Purpose of the […]
This question was submitted by a general dentist: Does adrenaline in local anesthetics increase or decrease bleeding at the surgical site? Dr. Mark Donaldson, in collaboration with Dr. Suham Alexander, Oasis Discussions Clinical Editor, provided this initial response. Dr. Mark Donaldson is Director of Pharmaceutical Services at the Kalispell Regional Medical Center, Clinical Professor in the Department […]
Question: “I have a patient with history of cocaine and heroin addiction, but has been clean for 5 years. It seems that local anesthetic (lidocaine 2%, 1:100k epi) for minor restorative wears off sooner than I would normally expect. Would her previous drug use cause a level of tolerance to the local anesthetics?” Dr. Joonyoung Ji […]