This case was submitted by Dr. Ron Kellen Case Details Male patient, 55. Diagnosed with AIDS in 2/2013 – at which time, CD4 count was 50. Now he says his CD4 count is 200. On Methadone (on-off for 10 years now). Ex heroin IV, and oxycontin, Percocet, etc. narcotics. On anti-convulsive for grand mal seizures. […]
In June 2013, CDA adopted a new position statement on dental patients with total joint replacement. The Committee on Clinical and Scientific Affairs (CCSA) reviewed clinical evidence, including a thorough systematic review of the literature conducted by the American Dental Association (ADA) and the American Academy of Orthopedic Surgeons (AAOS) which was conducted in 2011. […]
This question was submitted by a general dentist: When discussing sun damage to lips, a couple of patients indicated that their physician prescribed Efudex. There is apparently no follow-up by the physician and no indication to the patients as to what the desired outcome of the said treatment should be. Should dentists be prescribing this medication […]
This summary is based on the Critical Appraisal published in the Journal of Esthetic and Restorative Dentistry: Dental Erosion (June 2013) Context Dental erosion or erosive tooth wear not only can be caused by extrinsic (dietary) acids but also intrinsic acids. Historically, anorexic and bulimic patients have been the population dentists have had to be aware of, […]
This summary is based on the article published in the Journal of Periodontal Research: Effects of local simvastatin-alendronate conjugate in preventing periodontitis bone loss (October 2013) Context Local host-modulation therapy is an emerging approach to prevent disease progression in sites with moderate periodontitis. The combination of simvastatin and alendronate would be an intriguing host-modulatory strategy because […]
This summary is based on the article published in the Journal of the American Dental Association: Dental treatment for patients with neuropathic orofacial pain (September 2013) Clinical Case A 56-year-old woman visited a dental office with acute dental pain in the left mandibular molar area. The treating dentist established a diagnosis of trigeminal neuralgia (TN) related to […]
This summary is based on the article published in the Journal of Periodontal Research: The association between periodontitis and obstructive sleep apnea: a preliminary study (August 2013) Context Periodontitis is becoming a highly prevalent disease worldwide. Obstructive sleep apnea is a common disorder that is characterized by repeated disruptions in breathing during sleep, and mouth breathing is a […]
This summary is based on the article published in the Journal of Prosthodontics: Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients (August 2013) Context An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant-supported […]