Oral Health Group

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Anesthesiology

February 1, 2014 Feature AnesthesiologyDentistry

Treatment and Billing Practices Among Dentists Providing Dental Care for Children in Publicly Funded Programs

by Kenneth G. Rawson, DMD; Marcia M. Ditmyer, PhD; Raymond D. Rawson, DDS, MA

ABSTRACTObjective: The purpose of this paper was to review treatment and billing practices by Nevada dentists participating in Public Funded Programs (i.e., Medicaid, CHIP), which can lead to higher costs and unnecessary treatment of children needing dental care. Methods: Seventy-five thousand

Academy of Craniofacial Aesthetics in India
July 19, 2013 News AnesthesiologyDental TechnologyDentistryEndodonticsGeneral PracticeImplantologyOral HealthOrthodontics

Inaugural Conference of the Academy of Craniofacial Asthestics in India on Occlusion, TMD & Full Mouth Rehabilitation at the Taj Exotica, Goa from September 13th – 15th, 2013.

by Academy of Cranio Facial Aesthetics in India

We are extremely happy to announce that we have organized a Conference on behalf of the Academy of Craniofacial Aesthetics in India at Taj Exotica, Goa from 13 – 15 September 2013. This is the1st ever Conference by the Academy

February 1, 2013 Feature AnesthesiologyDentistry

To Have or Not to Have: Dentures versus Prosthodontic Services

by Gerald Schneiderman, MD,FRCP(C)

Prosthodontic services have been rapidly growing in dental offices. I have had a long history of gum disease which led to restorative dentistry, and after progressive deterioration, I had to confront the issue of whether I was going to have

Table 1.
February 1, 2013 Feature AnesthesiologyDentistry

Nitrous Oxide and Postoperative Morbidity and Mortality: A Concise Literature Review of the ENIGMA Trials and New Evidence

by Michelle Wong, DDS

Nitrous oxide is a principal agent in the practice of conscious sedation and general anaesthesia. There has been a growing trend among anaesthesiologists to decrease the use of nitrous oxide because of concerns about cardiovascular morbidity and mortality. While the

February 1, 2013 Feature AnesthesiologyDentistry

Airway Assessment and Management in Conscious Sedation Cases

by Andrew C. Adams, DDS

During conscious sedation, the primary goal of any anaesthesia provider is to protect the airway. In dentistry this is a double-edged sword, since we work in the mouth. It affords us the ability to constantly monitor the airway, but it

W.S. Halsted
February 1, 2013 Feature AnesthesiologyDentistry

A History of Patient Comfort (Part III): Comfortably Numb

by Peter Nkansah, M.Sc., DDS, Dip. Anaes., FADSA, Specialist in Dental Anaes. (ON)

One of the facets of dentistry that makes it unique in the field of healthcare is the ability to anaesthetize whatever tissues we are working on. This was not always reliably true, which in addition to the fact that our

February 1, 2013 Feature AnesthesiologyDentistry

Flumazenil: Be Careful How You Administer It

by Jonathan Campbell, DDS

The need for sedation in dentistry is evident. According to Chanpong et al., in 2003 of Canadians, about 10% of the general population were somewhat afraid of dentistry, 5% had a high fear level, and many appointments were avoided or

Figure 14.
February 1, 2013 Feature AnesthesiologyDentistry

Non-Injectable Local Anaesthesia in Dentistry: A Review and Case Study

by David Isen, BSc, DDS

Dental practitioners depend on the evolution of their field to provide patients with the highest quality, most advanced and comfortable dental care. Halsted first gave an inferior alveolar nerve block using cocaine and boiling water in 1884 and cocaine was

February 1, 2013 Feature AnesthesiologyDentistry

Welcome to the Pacific Dental Conference

by Oral Health

The Pacific Dental Conference is one of the largest dental conferences in North America offering a varied and contemporary selection of continuing education programs. With over 150 open sessions and hands-on courses covering topics relating to clinical excellence, practice excellence

Dr. Nkansah is a specialist in Dental Anaesthesia with a private practice in Toronto. He is a member of the editorial board of Oral Health and is an educator with the University of Toronto, Western University and Sunnybrook Health Sciences Centre.
February 1, 2013 Feature AnesthesiologyDentistry

King Pyrrhus and Dental Anaesthesia

by Peter Nkansah, DDS, Dip. Anaes., Specialist in Dental Anaes. (Ont.)

In 280 BC and 279 BC, King Pyrrhus led his army to victories against the Romans in two separate battles during the Pyrrhic War. Although his armies were victorious, they were also decimated in number and were eventually overrun. Their

Picture 1
February 1, 2012 Feature AnesthesiologyDentistry

1 Minute in Your Dental Chair Can Save a Life…

by Dr. Christian von Rosenbach

Lise Fabello is one of the lucky ones. Routine screening with UFIT, an advanced vital signs monitoring device, led to the diagnosis of a serious medical condition and may even have saved her life. Although she was feeling unwell for

February 1, 2012 Feature AnesthesiologyDentistry

Trance & Communication – An Alternative Paradigm

by Gabor Filo, DDS, FAGD, ABHD

Dentistry has credibility issues. Over many years we have reassured ourselves that we are a much loved and appreciated profession, However, the reality is actually worse than we have lead ourselves to believe. How do we know this? The Canadian

February 1, 2012 Feature AnesthesiologyDentistry

Practical Considerations for Treating the Anxious Dental Patient

by Robert McMaster, MD and Gabriella A. Garisto, DDS, MSc

INTRODUCTIONDental anxiety is a common phenomenon. In a recent Canadian survey, 5.5% of respondents reported being “very afraid or terrified” of dental visits, and a further 9.8% were “somewhat afraid”.1 Dental anxiety prevalence, of a clinical significance, varies based on

Table 4 - Dental treatment Recommendations According to the Measurement of High Blood Pressure
February 1, 2012 Feature AnesthesiologyDentistry

The Hypertensive Patient

by Sepehr Zahedi, DDS and Robert Marciniak, DMD

(A review of the latest Joint National Committee on Prevention, Detection, Evaluation and Treatment of Hypertension as it applies to the dentist)

CASE:  A 45-yr-old male presented for restorative treatment under deep intravenous sedation indicated by dental anxiety to the sound of the drill. The medical history included sleep apnea, depression, paranoid delusional disorder, insomnia, chronic pain from sciatica, and obesity (BMI 36.1 kg/m2). Current medications included daily use of morphine 240 mg, three tablets of Percocet, haloperidol 3 mg, amitryptyline 75 mg, zopiclone 7.5 mg and 8 cups of coffee. The patient rigidly followed preoperative instructions, ingesting no food after midnight, having only water or apple juice three hours prior to the afternoon appointment, in addition to his prescribed medications. Induction was achieved with midazolam, fentanyl, glycopyrrolate and a propofol bolus and infusion. The patient was spontaneously ventilating and the airway was supported throughout. Haemodynamics were stable throughout. Emergence and recovery was uneventful, except for postoperative headache which persisted in the evening despite administration of ibuprofen 400 mg po during the recovery period.
February 1, 2012 Feature AnesthesiologyDentistry

Caffeine Withdrawal from Procedural Sedation

by Michelle Wong, DDS, Peter Copp, DDS, BScD (Anaesthesia), FADSA

CASE: A 45-yr-old male presented for restorative treatment under deep intravenous sedation indicated by dental anxiety to the sound of the drill. The medical history included sleep apnea, depression, paranoid delusional disorder, insomnia, chronic pain from sciatica, and obesity (BMI

February 1, 2012 Feature AnesthesiologyDentistry

Glucagon in the Dental Emergency Kit?

by Joonyoung Ji, DMD

The prevalence of diabetes mellitus in the general populace continues to grow, and along with increasing life expectancy it can be expected that dentists will have an increasing proportion of diabetic patients. Data from Statistics Canada show in the period

Figure 1 - A poster advertising a "laughing gas" exhibition in 1845. (Image taken from http://www.general-anaesthesia.com/people/laughinggas-poster.html)
February 1, 2012 Feature AnesthesiologyDentistry

A History of Patient Comfort (Part 2) – Passing Gas (1540-1847)

by Peter Nkansah, MSc, DDS, Dip. Anaes., Specialist in Dental Anaes. (Ont.)

The story of inhalational anaesthesia leading up to Ether Day is as much about personalities as it is about science. Actually, it’s more about the people than the chemistry. Oxygen, nitrous oxide and ether were each discovered before their use

February 1, 2012 Feature AnesthesiologyDentistry

Dental Internet Directory

by Oral Health

ASSOCIATIONS ASSOCIATION OF DENTAL TECHNOLOGISTS OF ONTARIO The official voice of Registered Dental Technologists in Ontariowww.ADTO.org CANADIAN DENTAL PROTECTIVE ASSOCIATION  Because bad things happen to good dentists.www.cdpa.com ONTARIO ACADEMY OF GENERAL DENTISTRY  Quality of care through life long learning.www.ontarioagd.org TORONTO ACADEMY OF DENTISTRY Toronto

Tabel 1 - 2011 SLSA Quiz Answers
February 1, 2012 Feature AnesthesiologyDentistry

2011 SLSA Quiz Answers

by Oral Health

2011 was the final year of the SLSA program in Oral Health. The 8-question quiz appearedin the November ’11 issue. Unlike previous years, SLSA was not invloved in processing the results of forwarding names of particpants to the provinival licensing

February 1, 2011 Feature Anesthesiology

Safety-Engineered Needles for Dentistry: Some Clinical Impressions

by Peter J. Nkansah, MSc, DDS, Dip. Anaes., Specialist in Dental Anaes. (Ont.)

The Needle Safety Regulation (O. Reg. 474/07) under Ontario’s Occupational Safety and Health Act (OSHA) was extended to include dental offices as of July 1, 2010. This Regulation mandates the use of safety-engineered needles (SEN) as opposed to conventional hollow-bore