Features

Office Design: West Coas theme conveys sophisticated attitude

The objective of this project was to create a dental office designed not only for efficiency but, more importantly, to provide an environment and ambiance that emulated soothing home comfort. The premises are typical storefront: narrow (28 ft) and long…

See Images (October 01, 2001)

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In the Name of the… Patient

In the February issue of Oral Health, Dr. Janice Goodman aptly outlined how to make a referral to a specialist. Today I will look at this issue again. This time, from the perspective of the specialist, who is on the…

General Dentistry: Table 2: Adverse Orofacial Reactions to Tricyclic and Related Antidepressants (TCAs)

MedicationxerostomiasialadenitisdysgeusiastomatitisgingivitisglossitisedematonguebruxismMisc.Amitriptyline++++00++00caries, cheilitis,Clomipramine++++++000dysphagia, oral ulcers,halitosis. sinusitisDesipramine+++000++0facial edemaDoxepine+0++000000Imipramine++++00++0facial edemaMaprotiline++++000+0dysphagiaNortriptyline++++00++0facial edemaProtriptyline+++000++0facial edemaTrazodone+0+000000sinusitis

Product Profile: Technique Implantology– Implant Restorations with the Stealth Shouldered Abutment

The stealth shouldered abutments are designed for any type of cement-retained restoration as well as an integrated abutment crown restoration with “Diamond Crown” by DRM Laboratories. Stealth abutments in conjunction with Bicon’s new aluminum oxide sleeves provide enhanced aesthetics with…

General Dentistry: Dental Management of the Patient with Major Depressive Disorder

Background – Major Depressive Disorder (MDD/depression) is a mental illness characterized by marked sadness, and/or a loss of interest or pleasure in daily activities may be accompanied by weight loss, sleep disturbance, difficulty concentrating, and a high suicide rate. The disorder is very common in Canada with a lifetime prevalence rate of approximately 24%. Unfortunately, half of all patients with depression never see a physician and therefore go undiagnosed and untreated. Clinical Implications – Individuals under treatment for depression and those whose illness has not been diagnosed often present to the dentist with significant oral disease. Dentists need to be cognizant of how to safely and compassionately provide care to those already receiving mental health services. They must also be familiar with the psychiatric symptoms of the disorder so that they can effectuate a timely referral to a physician of those with occult or relapsing disease. Depression is frequently associated with a disinterest in performing oral hygiene, a cariogenic diet, rampant dental decay, advanced periodontal disease, and oral dysesthesias. Antidepressants used to treat the disease cause the xerostomia and may increase the severity of dental disease. Appropriate dental management necessitates a vigorous preventive dental education program, the use of artificial salivary products, antiseptic mouthwash, daily fluoride mouth rinse, and special precautions when administering local anesthetics with vasoconstrictors and prescribing analgesics. Conclusions — Dentists invoking appropriate precautions can usually provide a full range of services to individuals with major depressive disorder thereby enhancing patient self esteem and contributing to the therapeutic milieu.

Viewpoint: When More is Less

Clinicians often resort to conservative therapies to maintain patients with near terminal dentitions as long as possible. Viewed as a laudable approach, this strategy often leads to increasingly severe periodontal disease and has been dubbed “supervised neglect”. Allowing it to…

General Dentistry: Table 1: Antidepressants currently marketed

Tricyclic and related antidepressant drugsAmitriptylineClomipramineDesipramineDoxepinImipramineMaprotilineNortriptylineProtriptylineTrazodoneTrimipramineSelective Serotonin Re-uptake Inhibitors (SSRIs)FluoxetineFluvoxamineParoxetineSertralineOther antidepressants drugsBupropionNefazodoneVenlafaxineMonoamine Oxidase Inhibitors (MAOIs)PhenelzineTranylcypromineMoclobemide ** a reversible inhibitor of monoamine oxidase A (RIMA)

General Dentistry: Table 4: Adverse Orofacial Reactions to Other Antidepressant Drugs

MedicationxerostomiasialadenitisdysgeusiastomatitisgingivitisglossitisedematonguebruxismMisc.Bupropion+0++0+00+toothache, oraledema, dysphagiamoniliasis,Nefazodone+0++++000dysphagia, periodontalabscesses, oral ulcers

COSMETIC DENTISTRY: Preparation Considerations for Posterior Restorations Utilizing Bonding Technology

Restorations that require cores of metal or other rigid materials can provide the strength and some of the beauty our patients demand but they do so by sacrificing tooth tissue. Advances in adhesive dentistry have produced bond strengths that have…

Letters (September 01, 2001)

Re: April 2001 coverI was surprised at Dr. Veale’s objection to a topless woman on the cover of Oral Health (Letters to the Editor, June 2001). All I saw was a stunningly beautiful woman and astonishingly beautiful dentistry. Now I…

PRODUCT PROFILE: The Use of Quartz Fibre Technology in Coronal-Radicular Rehabilitation. The Aestheti-Plus Post

The past decade has witnessed sophistication in the quality of aesthetic simulation of natural tooth structure that is unprecedented. The impact of new generation porcelain fused to metal, all ceramic, and resin restorations has added immeasurably to the cosmetic service…

IMPLANTOLOGY: Case Risk Level – Case Selection In Implant Dentistry

Implant dentistry is now well established in our profession as a recognized and validated protocol for replacing missing teeth. While implant dentistry have been in existence for more than 2000 years,1 only in the last 20 years has its success…

See Images (September 01, 2001)

Self Learning Assessments

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear at the end of each quiz.Dentists who complete the 15 question quiz in the November, 2001 issue of Oral Health…

One Phase vs. Two Phase Orthodontic Treatment — Which is Best?

On Saturday nights, when my wife and I are standing in line at the local movie theatre waiting to buy our tickets, or more importantly to buy our popcorn, like all conscientious orthodontists I naturally look around at kids’ teeth.…

IMPLANTOLOGY: Growing Bone: Clinical Considerations

Implant practitioners need to create additional bone in many situations. With advanced atrophy of the alveolar ridge, insufficient bone width or height may make placement of implants impossible. Alternatively, trauma or acute periodontal disease may remove bone that must be…

A Show of Hands

I was recently invited to give a talk on “Hands-on programs in North America” and “Are They Worth It?” There is no question in my mind that a hands-on course is ‘educationally speaking’ the best way to learn any and…

IMPLANTOLOGY: The Mandibular Circumferential Subperiosteal Implant — A Case Report and Review

Root form implants are the most popular current implant design, and usually are the only implant designs used by most practitioners. Yet, over the last 15 years in the United States and Canada, over 2,000 implant surgeons have inserted more…

Self Learning Assessment (August 01, 2001)

The SLSA program is based on current, referenced literature and consists of 40 questions, answers, rationales and references. Answers appear at the end of each quiz.Dentists who complete the 15 question quiz in the November, 2001 issue of Oral Health…