Articles tagged "oral surgery"
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
