This summary is based on the article published in the Journal of the American Dental Association: Prevention of prescription opioid abuse: the role of the dentist (July 2011) Full-text article (PDF) Context Opioids are analgesics that have potential for misuse, abuse or addiction. Up to an estimated 23 percent of prescribed doses are used non-medically. As prescribers of 12 […]
Canadian medical regulatory authorities undertook guideline development in response to: Physicians and other stakeholders seeking guidance regarding safe and effective use of opioids A growing concern about opioid misuse creating patient and public safety issues, and The lack of systematically developed national guidelines on opioid use for CNCP. Canadian Guideline for Safe and Effective Use […]
This is a follow-up post to the Refresher: Why use anti-infectives? A number of dentists inquired about the pediatric doses for the anti-infectives mentioned in the post. Sources of information: Lexicomp and e-Therapeutics.ca Amoxicillin Children ≤3 months: Oral: 20-30 mg/kg/day divided every 12 hours Children >3 months and <40 kg: Oral: 20-100 mg/kg/day in divided […]
This question was submitted by a general dentist: Is there a resource with current information on appropriate oral care for severely disabled and G tube-fed population? There are many position papers and guidelines indicating that this population needs care. However, I found only limited information on the actual clinical treatment provided to them and on […]
This summary is based on the article published in the Dental and Medical Problems journal: Primary Failure of Tooth Eruption – Etiology, Diagnosis and Treatment (Issue 50 (3) 2013) Context Primary failure of eruption (PFE) is a rare condition that involves impeded eruption of teeth despite the lack of an identified local or general causative factor. Since […]
This summary is based on the Clinical Info provided by the Canadian Pharmacists Association: Drugs in Dentistry (December 2012) By Dr. Dan Haas, DDS, PhD, FRCDC Potential Interactions with Epinephrine or Levonordefrin: Adding epinephrine or levonordefrin to the local anesthetic formulation improves the depth and duration of the local anesthetic block. However, exercise caution if a patient has […]
By Lieutenant-Colonel Jean Pierre Picard Lieutenant-Colonel Jean-Pierre Picard is a Periodontist of the Canadian Armed Forces. He is currently the Deputy Commanding Officer of 1 Dental Unit and the Royal Canadian Dental Corps Periodontics Practice Leader. Lieutenant-Colonel Picard is also an examiner for the National Dental Specialty Examination in Periodontics of the Royal College of […]
This summary is based on the Clinical Info provided by the Canadian Pharmacists Association: Drugs in Dentistry (December 2012) By Dr. Dan Haas, DDS, PhD, FRCDC Consider the following points when using antibiotics: Use only when there is an indication. Use only when the risk-benefit ratio is favourable. They are not a substitute for establishing adequate drainage. […]