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Articles tagged "oral surgery"

How to manage tuberosity fracture during extraction

How to manage tuberosity fracture during extraction

Tips for clinicians when faced with a sudden, intra-operative fracture of the maxillary tuberosity during upper molar extraction. Read more

Posted in: Point of Care November 13, 2014

Management of Post-Surgical Pain

Management of Post-Surgical Pain

Advice on the management of post-surgical pain. Read more

Posted in: Point of Care December 18, 2013

Early Childhood Caries the Leading Cause of Day Surgery for Canadian Children

Early Childhood Caries the Leading Cause of Day Surgery for Canadian Children

Early childhood caries (ECC) accounts for about one-third of all day surgeries performed on Canadian children between the ages of 1 and 5, according to a study by the Canadian Institute for Health Information (CIHI). The CIHI report highlights the prevalence of oral health neglect in Canadian children and raises awareness of a health care issue that can be avoided. Read more

Posted in: Dentistry News November 19, 2013

A Dentist Recognizes Ectodermal Dysplasia and Brings Welcome Relief to Family

A Dentist Recognizes Ectodermal Dysplasia and Brings Welcome Relief to Family

Like many who suffer from ectodermal dysplasia (ED), 14-month-old Jacob was initially diagnosed by his dentist.  As  the first health care provider to link together the various  symptoms described by the child’s  parents—delayed teething, severe facial eczema, sparse eyelashes and missing eyebrows, red rimmed eyes, unwillingness to drink warm beverages—Jacob’s dentist suspected  an ED disorder. Read more

Posted in: Dentistry News November 05, 2013

Minor Oral Surgery in Fasting Muslim Patients during Ramadan

Minor Oral Surgery in Fasting Muslim Patients during Ramadan

Dental considerations for treating patients in accordance with the guidelines of Islam have been well summarized.1 Fasting among Muslim patients during Ramadan poses unique challenges for oral surgery. Read more

Posted in: Letters October 15, 2013

Nova Scotia Invests in Oral Health

Nova Scotia Invests in Oral Health

The Nova Scotia government is investing in oral health with a focus on improving dental care for children. Read more

Posted in: Dentistry News September 03, 2013

Benefits of Antibiotics for Dental Implant Placement

Benefits of Antibiotics for Dental Implant  Placement

The findings of a new systematic review by the Cochrane Oral Health Group suggest that people given antibiotics before having dental implants placed have a reduced risk of implant failure. The study found that 2 or 3 grams of amoxicillin given orally,  as a single administration, 1 hour before placement of dental implants reduces implant failures. Read more

Posted in: Dentistry News August 28, 2013

Implications of Dabigatran, a Direct Thrombin Inhibitor, for Oral Surgery Practice

Implications of Dabigatran, a Direct Thrombin Inhibitor, for Oral Surgery Practice

This review examines the pharmacology of direct thrombin inhibitors (especially dabigatran) and other anticoagulant medications and summarizes existing literature on best management in the context of dental surgical procedures. Read more

Posted in: Clinical Review July 29, 2013

Managing Postoperative Pain Following Periodontal Surgery

Managing Postoperative Pain Following Periodontal Surgery

Step-by-step advice on identifying and managing pain following periodontal surgery. Read more

Posted in: Point of Care July 12, 2013

How Do I Manage a Patient with Dry Socket?

How Do I Manage a Patient with Dry Socket?

Diagnosis and treatment of dry socket. Read more

Posted in: Point of Care April 30, 2013

Dental Implant Placement with Bone Augmentation in a Patient Who Received Intravenous Bisphosphonate Treatment for Osteoporosis

Dental Implant Placement with Bone Augmentation in a Patient Who Received Intravenous Bisphosphonate Treatment for Osteoporosis

Patients receiving intravenous bisphosphonate therapy for treatment of osteoporosis do not appear to be at increased risk of bisphosphonate-related osteonecrosis of the jaw (BRONJ) with placement of dental implants. Read more

Posted in: Clinical Reports March 20, 2013

Quantifying the Risk of Nerve Injury with Wisdom Teeth Extraction: A Multimedia Presentation from JCDA Clinical Q&A

Quantifying the Risk of Nerve Injury with Wisdom Teeth Extraction: A Multimedia Presentation from JCDA Clinical Q&A

A multimedia presentation on scientifically valid means of quantifying the risk of nerve injury during extraction and predicting the impaction of wisdom teeth. Read more

Posted in: Dentistry News February 06, 2013

Understanding How a Dental Infection May Spread to the Brain: Case Report

Understanding How a Dental Infection May Spread to the Brain: Case Report

The death of a 30-year-old man several days after the completion of a root canal on a maxillary molar may be explained by the results of a more recent case involving a similar infection of the brain with Streptococcus anginosus. Read more

Posted in: Debate and Opinion February 04, 2013

Guidance for the Maintenance Care of Dental Implants: Clinical Review

Guidance for the Maintenance Care of Dental Implants: Clinical Review

This review article presents guidelines for maintenance care of dental implants, based on preliminary assessment, examination of the clinical implant, radiography (if indicated) and appropriate treatment for any problems identified. Read more

Posted in: Clinical Review November 30, 2012

CDA Ambassadors Honoured by Pierre Fauchard Academy

CDA Ambassadors Honoured by Pierre Fauchard  Academy

In September, the Pierre Fauchard Academy (PFA) held its Canadian 2012 Awards and Installation luncheon in conjunction with the CDA Conference in Saskatoon. The event recognized Canadians who have made outstanding contributions to dentistry. Read more

Posted in: Dentistry News October 16, 2012

Implant Therapy and Apical Actinomycosis: Case Report

Implant Therapy and Apical Actinomycosis: Case Report

In this case report, the authors provide guidance on the timing of implant placement at a previously infected site. Read more

Posted in: Clinical Reports September 13, 2011

Chronic Osteomyelitis Following an Uncomplicated Dental Extraction

Chronic Osteomyelitis Following an Uncomplicated Dental Extraction

Osteomyelitis is a relatively rare complication of dental extractions that can mimic multiple benign and malignant processes, making it difficult to recognize in otherwise healthy young patients. This case describes treatment options and ultimate resection of the affected portion of the patient’s mandible. Read more

Posted in: Clinical Reports July 27, 2011

Access to Care for Young and Old

Dr. MacGregor outlines how a new national working group will be building on recommendations from previous CCSA reports and looking to implement access to care advocacy initiatives for children and seniors across Canada. Read more

Posted in: July 27, 2011

Treatment of a Large Maxillary Cyst with Marsupialization, Decompression, Surgical Endodontic Therapy and Enucleation

Treatment of a Large Maxillary Cyst with Marsupialization, Decompression, Surgical Endodontic Therapy and Enucleation

This case report describes conservative treatment of a large maxillary cyst. The treatment involved marsupialization and decompression, followed by surgical endodontic therapy of the affected teeth and cystectomy. Read more

Posted in: Clinical Reports June 23, 2011

Identification of an Odontogenic Keratocyst and Treatment with Guided Tissue Regeneration: Case Report

Identification of an Odontogenic Keratocyst and Treatment with Guided Tissue Regeneration: Case Report

A rare osseous inter-radicular cyst in the mandibular premolar area was identified histologically as an odontogenic keratocyst. Guided tissue regeneration using a bone allograft, after total surgical removal with debridement and decortication, resulted in a successful outcome. Read more

Posted in: Clinical Reports February 22, 2011

Endodontics-Related Paresthesia of the Mental and Inferior Alveolar Nerves: An Updated Review

Endodontics-Related Paresthesia of the Mental and Inferior Alveolar Nerves: An Updated Review

Paresthesia, a prickly sensation or numbness caused by neural injury, can result from a dental procedure, as several important nerves of the mandible are very close to the root apices, especially that of the third molar. Read more

Posted in: Clinical Review November 03, 2010

Augmentation of the Maxillary Sinus: Comparison of Bioimplants Containing Bone Morphogenetic Protein and Autogenous Bone in a Rabbit Model

Augmentation of the Maxillary Sinus: Comparison of Bioimplants Containing Bone Morphogenetic Protein and Autogenous Bone in a Rabbit Model

In a rabbit model, bioimplants containing bone morphogenetic protein had more rapid initial production of bone for augmentation of the maxillary sinus than other materials tested, including autogenous bone. Read more

Posted in: Applied Research October 21, 2010

Finite Element Analysis of the Human Mandible to Assess the Effect of Removing an Impacted Third Molar

Finite Element Analysis of the Human Mandible to Assess the Effect of Removing an Impacted Third Molar

Finite element analysis, a 3-dimensional modelling method, was used to analyze the effects of removing bone around an impacted mandibular third molar and to predict the possibility of iatrogenic fracture. Read more

Posted in: Applied Research June 16, 2010

Lemierre Syndrome from an Odontogenic Source: A Review for Dentists

Lemierre Syndrome from an Odontogenic Source: A Review for Dentists

Lemierre syndrome, the “forgotten disease,” may not be as uncommon as believed. When an obvious cause of sepsis is not apparent, dentists should consider Lemierre syndrome and look for a history of pharyngitis, tonsillitis or dental infection. Read more

Posted in: Clinical Review May 17, 2010

Ontario Girl Suffers Septic Shock After Third Molar Removal

Ontario Girl Suffers Septic Shock After Third Molar Removal

A newspaper article1 in the Orangeville Banner provided an account of a 16-year-old girl who experienced serious complications after the removal of her wisdom teeth. Mercedes Moore of Grand Valley, Ontario, went into septic shock after surgery in February 2009. The article outlines how an infection spread to her lungs and brain, leading to her suffering a series of blood clots and strokes. She was ultimately placed into a medically induced coma to allow treatment of the infection in her lungs and brain. Read more

Posted in: Clinical News April 29, 2010

What dose of epinephrine contained in local anesthesia can be safely administered to a patient with underlying cardiac disease during a dental procedure?

What dose of epinephrine contained in local anesthesia can be safely administered to a patient with underlying cardiac disease during a dental procedure?

Epinephrine is commonly used in health care and has multiple applications. Two frequent and often life-saving uses are the management of anaphylaxis and cardiac arrest. The word has a Greek origin and literally means “on” (epi) the “kidney” (nephros) referring to the anatomic location (the adrenal gland) where the drug is produced. Confusion still exists regarding the dose limits for epinephrine, particularly when the drug is administered to patients with underlying cardiovascular disease. Read more

Posted in: Point of Care April 19, 2010

If my patient has undergone radiation treatment of the jaw, does he/she need hyperbaric oxygen therapy before I extract teeth or perform other minor oral surgery?

If my patient has undergone radiation treatment of the jaw, does he/she need hyperbaric oxygen therapy before I extract teeth or perform other minor oral surgery?

Osteoradionecrosis (ORN) is a feared condition recognized by all dental practitioners (Figs. 1 and 2). Some of us have witnessed this disease among our patients, and we learned in dental school how devastating it can be. The biologic effects of high-dose radiation therapy on the jaws have been well described by Marx.1,2 Although there is no threshold radiation dose beyond which ORN becomes a higher risk, it usually occurs among patients who have had radiation therapy, surgery or both for oral cancer, usually squamous cell carcinoma.  Read more

Posted in: Point of Care April 19, 2010

Treatment and Care Options for Patients with Facial Differences

Treatment and Care Options for Patients with Facial Differences

Patients with cleft lip and palate are now being treated by multidisciplinary care teams in a clinic setting. These teams work in conjunction with support organizations, such as AboutFace, to address the psychosocial health of patients with facial differences and their families. Read more

Posted in: Clinical News April 16, 2010

Oral Health Research at Dalhousie: A Picture of Diversity and Collaboration

Oral Health Research at Dalhousie: A Picture of Diversity and Collaboration

With an exponential growth in research activity over the last decade, Dalhousie University’s faculty of dentistry approaches its 100th anniversary sporting a rich and diverse research environment. Read more

Posted in: Clinical News April 16, 2010

Dalhousie Cleft Lip and Palate Outreach Initiatives Extend Internationally

Dalhousie Cleft Lip and Palate Outreach Initiatives Extend Internationally

Dr. David Precious says volunteering internationally gives him “a direction that has meaning.” Since 1995, the dean emeritus of dentistry at Dalhousie University has travelled annually to Vietnam with a team of maxillofacial surgeons to perform surgery on children with cleft lip and palate. Read more

Posted in: Clinical News April 14, 2010