Oral Health Group

Topic
Pharmacology

February 8, 2021 Feature AnesthesiologyEditorialPharmacology

Prepare to Win

by Peter Nkansah, DDS, Dip. Anes.

“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 Cooke. According to Bill Bryson’s book, The Body, there are about 8,000 things that can

February 8, 2021 Feature AnesthesiologyOral HealthPharmacology

Case Report: Use of Intramuscular Glycopyrrolate Bromide for Hypersalivation

by Amanda Vincci Chiu DDS, PGY-1 Dental Anesthesia; Carilynne Yarascavitch, DDS, MSc (Dental Anesthesia)

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 saliva interfered with the ability to obtain an accurate impression of the tooth preparation. Glycopyrrolate

February 8, 2021 Feature AnesthesiologyOral HealthPharmacology

Opinion: Dentists Who Do Not Provide Sedation Should Not Be Required to Carry Naloxone

by Derek Decloux, BSc, DMD, MSc (Dental Anesthesia)

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 this after having contemplated writing a piece on something rather the opposite. I thought it

February 8, 2021 Feature AnesthesiologyOral HealthPharmacology

A Brief History of Propofol and the Introduction of Remimazolam as a Potential Heir Apparent

by Paul Azzopardi, MSc, DDS

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 rapid recovery even after multiple bolus doses or continuous infusion, and has anti-emetic properties which

February 8, 2021 Feature AnesthesiologyOral HealthPharmacology

Diphenhydramine as a Local Anesthetic: Case Report

by David Charrette, BMSc, BDS; Jason Wong, BSc, DMD; Michael Shimizu, BSc, DMD, MSc, FRDC

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 this article, we present a case of suspected allergy to conventional local anesthetics which was

February 8, 2021 Feature AnesthesiologyOral HealthPharmacology

Lipid Emulsion Treatment for Local Anesthetic Systemic Toxicity

by Dr. Cameron Goertzen, DDS

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) can result. The signs and symptoms of LAST can appear immediately after injection if injected

February 8, 2021 Feature AnesthesiologyOral HealthPharmacology

The Problems with the COVID-19 Test: A Necessary Understanding

by John Hardie, BDS, MSc, PhD, FRCDC

Viewpoint: Introduction On August 26th, 2020 Professor Mark Woodhouse, a senior scientific advisor to the UK Government stated the following, “We couldn’t think of anything better to do. Lockdown was a panic measure and I believe history will see that

February 4, 2020 Feature AnaesthesiaDental PharmacologyOral HealthPharmacology

Intraosseous Access to the Circulation: A Valuable Tool in Medical Emergencies

by Bomee Kim

The two most common methods for administering systemic medications to dental patients is by enteral (PO) or intravenous (IV) routes. In an emergency, the PO route has a slow onset of action. The drug, administered PO, needs to be absorbed

February 4, 2020 Feature AnaesthesiaDental PharmacologyOral HealthPharmacology

NPO Guidelines and Current Evidence-Based Considerations

by Cameron Goertzen, BMSc, MSc, DDS, MSc (Candidate Dental Anesthesia); Joonyoung Ji, DMD, MSc, DIP. ADBA

Current nil per os (npo) standards promote pre-operative fasting as an approach to reduce the volume and acidity of a patient’s stomach contents to reduce the risks of regurgitation and subsequent pulmonary aspiration. Pre-anesthesia fasting standards apply to any procedure

February 4, 2020 Feature AnaesthesiaDental PharmacologyOral HealthPharmacology

Peri-Operative Epistaxis During Dentistry: A Case Report

by Sina Moshiri, BSc, DDS, MSc Candidate (Dental Anesthesia); Cameron Goertzen, BMSc, MSc, DDS, MSc Candidate (Dental Anesthesia); Kevin Dann, BSc, DDS, BScD (Dental Anesthesia)

Epistaxis (nasal bleeding) is a relatively common complication that may arise during a dental visit that utilizes sedation/anesthesia. While rarely fatal, appropriate and prompt management of peri-operative epistaxis is critical in order to prevent further harm. This article will discuss

February 4, 2020 Feature AnaesthesiaDental PharmacologyOral HealthPharmacology

Reviewing Contraindications to Nitrous Oxide

by Derek Decloux, BSc, DMD, MSc (Dental Anesthesiology), Dip ADBA

All practitioners who deliver nitrous oxide to their patients should be intimately familiar with the relative and absolute contraindications to its administration. Relative Contraindications Nasal obstruction: Nitrous oxide sedation can proceed if despite some degree of nasal obstruction, the patient

February 4, 2020 Feature AnaesthesiaAnesthesiologyDental PharmacologyOral HealthPharmacology

Mandibular Anesthesia: Troubleshooting and Overcoming Failure to Anesthetize

by Dr. Waters

Abstract When difficulty in obtaining adequate mandibular anesthesia is encountered a systematic approach incorporating the evaluation of patient factors and operator technique will substantially improve outcomes. Even for the most experienced dental practitioners, consistent, profound mandibular anesthesia remains difficult to

Oversedation
February 4, 2020 Feature AnaesthesiaDental PharmacologyOral HealthPharmacology

Assessing BONES May Give You Moans, But it Can Help Manage Oversedation

by Rob Matsui; Paul Azzopardi, HBSc, MSc, DDS

Pre-operative airway assessment and management is essential to successful dental treatment under procedural sedation. In the event of oversedation, defined as the transition from an intended level of sedation to an unintended deeper level of sedation, the patient’s ability to

February 4, 2020 Feature AnaesthesiaDental PharmacologyEditorialOral HealthPharmacology

Evidence-Based Guidelines and Regulations?

by Peter Nkansah

“Sign, sign, everywhere a sign/Blockin’ out the scenery, breakin’ my mind/Do this, don’t do that/Can’t you read the sign?” – Signs by The Five Man Electrical Band A repeated discussion that I have with colleagues is that dentistry, as a

March 28, 2012 News ClinicalPharmacology

SPRIX® – The First and Only Intranasal NSAID

by ken

SPRIX® (ketorolac tromethamine) Nasal Spray is the first and only intranasal NSAID, a novel form of ketorolac tromethamine, a proven pain reliever used in hospitals for more than 20 years.1 SPRIX® combines the strength of non-narcotic ketorolac2 with the advantages of a patient-administered nasal spray. POTENT PAIN

March 7, 2012 News PharmacologyPharmacotherapeutics

Statins and Diabetes: Real Concern or Much Ado About Nothing?

by ken

From Forbes In a New York Times Op-Ed piece on Monday, Eric Topol comments on last week’s announcement by the FDA that it was changing the label for statins. Topol focuses on the new warning that statins raise the risk of diabetes. He

February 25, 2012 News ImplantologyPharmacology

Clog – Dental Implant placement in a patient treated with IV biphosphonates

by ken

From our good friend Chaniotis Antonis – DTStudy Club – Endo Implant Algorithm Email: antch@otenet.gr     Website: http://www.endotreatment.gr/ Uploaded by NikosMattheos on Feb 24, 2012 – The following video presents the case of a male patient under treatment with 
iv Bisphosphonates for osteoporosis. The patient received a dental

January 26, 2012 News APPsPharmacology

Lexicomp Launching New Online Interface

by ken

Dear Valued Customer, I want to take a moment and share some exciting Lexicomp news with you, one of our valued customers. Very soon, we will be launching a new interface for our Online product — The Next Generation of

January 14, 2012 News Pharmacology

Dentists not following antibiotic prescribing guidelines

by ken

By Rabia Mughal, Contributing Editor Dr.Biscuspid January 6, 2012 — The antibiotic prescribing practices of dentists for odontogenic infections in children do not appear to be in line with recommended professional guidelines of the American Academy of Pediatric Dentistry (AAPD) and the ADA,

January 4, 2012 News Clinical trialsPharmacologySocial mediaSocial networking

Quintiles forms digital unit to boost online clinical trials recruitment

by ken

Extrapolate the concept…think this outside the box….talk to a dental company Quintiles is expanding its healthcare social media reach with the launch of a new digital business unit that will help the company recruit patients for clinical trials. The new Digital Patient unit