Oral Health Group

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Pharmacology

Dental Anesthesia
February 7, 2022 Feature AnesthesiologyOral HealthPharmacology

Subcutaneous Emphysema: Dental Causes and Management

by Lucia Santos, DDS

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 to tissue distension. This trapping of air can progressively spread through the facial spaces, which

February 7, 2022 Feature AnesthesiologyPharmacology

Our Role in the Diagnosis of Hypertension – What Has Changed with the Pandemic?

by Alia El-Mowafy, BDS, MSC, Dip ADBA

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 changes in our health care system, some of which have led to the question: is

Dental Anesthesia
February 7, 2022 Feature AnesthesiologyOral HealthPharmacology

Nitrous Oxide and Postoperative Morbidity and Mortality: An Update of the ENIGMA-II Trial

by Cameron Goertzen, MSc, DDS

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 oxide and oxygen provides mild conscious sedation that can effectively manage dental anxiety. Beyond conscious

Dental Anesthesia
February 7, 2022 Feature AnesthesiologyOral HealthPharmacology

Automated External Defibrillators and the Dental Office

by Bryan Waxman, BHSc(Hon.), DDS, Dip. Anaes.

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 that can provide oxygen to vital organs). They are now a required component of the

Dental Anesthesia
February 7, 2022 Feature AnesthesiologyOral HealthPharmacology

Dental Anesthetic for a Patient with Cornelia De Lange Syndrome During Dental Treatment: A Case Report

by Abbass Saleh, DDS, MSc (Candidate); Amanda Vincci Chiu, DDS, MSc (Candidate)

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 report involves a 25-year-old female patient with CdLS who received a moderate sedation for dental

February 7, 2022 Feature AnesthesiologyOral HealthPharmacology

Lingualized Occlusion: An Occlusal Scheme for Complete Dentures in Atrophied Ridges – A Case Report

by Manoj Kumar Sundar, BDS, MDS (Prosthodontics-India)

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 implants. Although contemporary rehabilitation of completely edentulous situations is inclining towards dental implants, the demand

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 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