Oral Health Group

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 AnesthesiologyDental PharmacologyOral Health

Tobacco Cessation and Dentistry

by Dr. Abbass Saleh, DMD

Introduction The COVID-19 pandemic has made people more conscious about their overall health. It is a good moment to discuss tobacco smoking cessation with our patients. Tobacco smoking has overall devastating effects on health. It continues to be the number

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

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

Implant Failure
February 5, 2019 Feature AnesthesiologyImplantologyOral Health

Biomechanical Implant Failures Management of an Implant Failure: A Case Report

by Joshua Shieh, BDS, MDS

Introduction The goal of modern dentistry is to restore the patient’s oral health to normal contour, function, aesthetics and speech. 1 The era of dental implants have ushered in a new treatment concept where the patients no longer have to

Acute Myocardial Infarction
February 5, 2019 Feature AnesthesiologyOral Health

Supplemental Oxygen in an Acute Myocardial Infarction

by Dr. Rachel Tobis

You are about to begin dental treatment on your healthy 65-year-old male patient when he suddenly develops severe chest pain. You suspect he is having an acute myocardial infarction and immediately call 911. You then refer back to the treatment

Acute Myocardial Infarction
February 5, 2019 Feature AnesthesiologyEditorialOral Health

The New Standard (and Why We Should Comply)

by Dr. Peter Nkansah

“Gotta hit the club/Like you hit them hit them hit them angles” – Nice For What (clean version), Drake On November 15, 2018, the Royal College of Dental Surgeons of Ontario accepted a new revision of the Standard of Practice

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

Barriers of Access to Deep Sedation and General Anesthesia as Identified by Ontario Dental Patients

by Soheil Khojasteh, BHSc, DDS, MSc (Dental Anesthesia)

There are various indications for deep sedation and general anesthesia (DS/GA) in dentistry, including anxiety associated with dental treatment, pre-cooperative age, traumatic or extensive dental procedures, and cognitive impairment or motor dysfunctions.1–3 Although many of the patients who fall into

Infection Control
February 14, 2018 Feature

Codeine: Are We Prescribing the Right Opioid to Our Patients?

by Derek Decloux, Dental Anesthesia Resident at the University of Toronto’s Faculty of Dentistry

Given the epidemic of narcotic abuse in Canada, it is important we discuss choices when prescribing opiods. We should be both more pensive prior to picking up our prescription pad and more careful when prescribing opiod analgesia to our patients.

Infection Control
February 14, 2018 Feature

What Do You Do?

by Brian Chapnick, DDS

So, what do you do?” is a question often asked at social gatherings. Everyone has a story. Few of us have actually thought one out. How might we answer? Does the simple response “I’m a dentist” tell us anything about

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