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Anesthesia

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

October 18, 2019 News News

Vancouver Dental Office Owner Fined $5,000 In Death Of 4-Year-Old

by The Columbian

Washington’s Dental Quality Assurance Commission has fined an owner of Must Love Kids Pediatric Dentistry in Vancouver in connection with the death of a 4-year-old Vancouver boy after a dental procedure in March 2017. Mykel Wayne Peterson died after receiving

October 9, 2019 News News

‘Absolute Hell’: Parents Say Of Daughter, 5, Who Almost Died After Routine Dental Surgery

by CBC News

Autumn Ferguson went into a Regina dental clinic with a few cavities, and left in an ambulance on life support. The five-year-old girl’s lungs collapsed while receiving oxygen in the wrong way under general anesthesia, according to the surgical centre’s own admission. Ferguson’s

August 16, 2018 News News

Edmonton Dentist to Pay $330,000 After Patient Left with Permanent Brain Damage

by Kim Smith, Global News

A retired Edmonton dentist has to pay $330,000 related to the case of a young girl who suffered permanent brain damage following a dentist appointment nearly two years ago. Amber Athwal was four years old when she was given anesthesia for

August 7, 2018 News AnesthesiologyNews

Dental Board Votes to Allow Arrested Dentist to Keep Practicing

by Dave Biscobing, Shawn Martin, ABC15 News

The Arizona dental board rejected calls from Governor Doug Ducey to take stronger action against a dentist facing criminal charges for falsifying his anesthesia credentials. At a public meeting Friday, board members defiantly called on the Governor’s Office to produce

August 1, 2018 Feature ImplantologyOral Health

Intraosseous Local Anesthesia Revisited

by Mark Lin, BSc, DDS, MSc (Prosthodontics), FRCD(C)

To view figures, click on figure mentions throughout the article. Your patient in the chair has confirmed that their lips and tongue are numb from your block local anesthesia. As you are beginning to start the clinical procedure, your patient

Infection Control
February 20, 2018 Feature

Putting the Risk in Context

by Alia El-Mowafy, BDS, MSc

Sedation and anesthesia for dentistry has come under scrutiny in the past few years due to a few tragic events where patients experienced harm. These events have raised several questions: are these just isolated incidents due to negligence in clinicians’

Infection Control
February 14, 2018 Feature AnesthesiologyEditorialOral Health

Bias vs. Integrity

by Peter Nkansah, DDS, Dip. Anaes

Honesty is such a lonely word – Billy Joel Bias and integrity are strange bedfellows. They are two qualities that we speak of in absolute terms although there is no absolute measure for them. Both qualities force us to look

December 19, 2017 News DentistryNews

Top 10 Dental News Stories of 2017

by Oral Health

It’s been quite a year in dental news! 2017 seemed to bring on some interesting areas of concerns for dental hygienists – whether it was health issues to lookout for, questionable acts inside the practice and, of course, the new

May 31, 2017 News AnesthesiologyDentistryNews

Alberta Dentists Suspended from Providing Anesthesia

by Slav Kornik, Global News

The Alberta Dental Association and College (ADA&C) has permanently suspended single operator sedation. The motion was passed at a meeting on May 24, which states that registered dentists in Alberta can no longer “simultaneously provide deep sedation or general anesthesia

May 15, 2017 Product Spotlight

Cetylite® Launches New Cool Mint Flavor of Cetacaine® Topical Anesthetic Gel

by Cetylite Inc.

Cetylite® Inc. recently designed a new flavor of one of its flagship products, Cetacaine® Topical Anesthetic Gel. Cetacaine will now feature a Cool Mint flavored gel, which will be available by mid-June. Indicated for anesthesia of accessible mucous membranes (except

February 2, 2017 Feature AnesthesiologyOral Health

Safety of Dental Anaesthesia – A Short Literature Review

by Alia El-Mowafy, BDS

Caleb Sears was a healthy six-year-old boy in California that went to his oral surgeon’s office for a routine extraction under general anaesthesia (GA). Unfortunately, Caleb did not survive the procedure. He suffered hypoxic brain damage and he was not

February 2, 2017 Feature AnesthesiologyEditorialOral HealthPaediatric Dentistry

Editorial: The Extinction of the Operator-Anaesthetist?

by Dr. Peter Nkansah

Recently the Royal College of Dental Surgeons of Ontario chose to update the Standard of Practice for the Use of Sedation and Anaesthesia in Dental Practice. While this was a semi-scheduled review (the document is revised roughly every five years),