Is Diversity in Dentistry Good for Patients?
Ralph Ellison’s 1952 masterpiece novel, Invisible Man, compares and contrasts being black in America in the South and the North. Towards the end of the … more
Anesthesiology
Failed Mandibular Anaesthesia: Aberrant Nerve Pathways
Failed mandibular anaesthesia is a burden on both patients and dental practitioners, as lack of profound anaesthesia can result in pain, apprehension about dental visits, … more
Oxygen and Airway Actions for Medical Emergencies Occurring in Dental Practices
Medical emergencies can occur in dental offices. In fact, nearly 60% of dentists participate in the management of one to three medical emergencies annually.1 In … more
Anesthesiologist’s Role in the Perioperative Care for Pediatric Dental Procedures
Children of all ages may need dental care for a wide range of symptoms from pain during eruption of teeth, dental caries and infections to … more
An Update on the Current Opioid Crisis in Canada and Opioid-free Analgesia
In Ontario, dentists are the third largest group of opioid prescribers after family physicians and surgeons, and therefore are possible contributors to the opioid crisis.1 … more
Introduction to Oral Sedatives: Benzodiazepines
Dental anxiety is a common phenomenon among Canadians. All clinically active dentists have anxious patients in their rosters. The simplest choices available to you for … more
Got ‘Til It’s Gone
Don’t it always seem to go/That you don’t know what you’ve got ‘til it’s gone. – Joni Mitchell (“Big Yellow Taxi”) There is an active … more
Subcutaneous Emphysema: Dental Causes and Management
Introduction Subcutaneous emphysema is a well-known complication that can occur during dental procedures. It arises when air is forcefully pushed into the submucosal spaces, leading … more
Our Role in the Diagnosis of Hypertension – What Has Changed with the Pandemic?
As dental care professionals, we are all familiar with measuring our patients’ blood pressure. Since the beginning of the COVID-19 pandemic, there have been several … more
Nitrous Oxide and Postoperative Morbidity and Mortality: An Update of the ENIGMA-II Trial
Nitrous oxide is an odorless, colourless, inorganic gas that has been used in dental and surgical anesthesia since the mid-1800s. The combination of inhaled nitrous … more
Automated External Defibrillators and the Dental Office
The primary function of an automated external defibrillator (AED) is to convert certain fatal non-perfusing heart rhythms back into perfusing heart rhythms (producing a pulse … more
Dental Anesthetic for a Patient with Cornelia De Lange Syndrome During Dental Treatment: A Case Report
Abstract Cornelia de Lange Syndrome (CdLS) is a rare genetic neurodevelopment disorder that can present challenging behavioral and airway management during general anesthesia. This case … more
Lingualized Occlusion: An Occlusal Scheme for Complete Dentures in Atrophied Ridges – A Case Report
Introduction Rehabilitation of completely edentulous maxillary and mandibular arches should satisfy form, function and esthetics. Such rehabilitations can be carried out either with or without … more
Prepare to Win
“It’s been too hard living/But I’m afraid to die/’Cause I don’t know what’s up there/Beyond the sky” – A Change Is Gonna Come by Sam … more
Case Report: Use of Intramuscular Glycopyrrolate Bromide for Hypersalivation
Summary This case report provides a review of the use of the intramuscular (IM) injection of glycopyrrolate bromide as an antisialagogue. In this case, copious … more
Opinion: Dentists Who Do Not Provide Sedation Should Not Be Required to Carry Naloxone
No, it was not a copy editor who wrote the title of this opinion piece. It was I, Derek, a practising dentist anesthesiologist, who wrote … more
A Brief History of Propofol and the Introduction of Remimazolam as a Potential Heir Apparent
Propofol (2,6-diisopropylphenol) is an intravenous (IV) sedative-hypnotic agent commonly used for the IV induction and maintenance of general anesthesia.1 It has a rapid-onset, provides a … more
Diphenhydramine as a Local Anesthetic: Case Report
Keywords: local anesthetic, allergy, diphenhydramine, emergency treatment Abstract Allergy to local anesthetics is a rare condition which poses a unique challenge for dental treatment. In … more
Tobacco Cessation and Dentistry
Introduction The COVID-19 pandemic has made people more conscious about their overall health. It is a good moment to discuss tobacco smoking cessation with our … more
Lipid Emulsion Treatment for Local Anesthetic Systemic Toxicity
Local anesthetics are used by dentists extensively and when used erroneously, such as intravenously or above the maximum dose, life-threatening local anesthetic systemic toxicity (LAST) … more