Oral Health Group

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 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 1, 2015 Feature AnesthesiologyDentistry

What’s Ethical?

by Dr. Nkansah

Strictly speaking, “ethics” is a plural noun that is supposed to relate to moral principles. Try as we might to define ethics and to follow them in our personal and professional behaviours, we sometimes fail. This is because while our

February 1, 2015 Feature AnesthesiologyDentistry

Dental Anxiety What Are We Missing?

by Jonathan Campbell, DDS

Dental professionals have become highly proficient in providing local anaesthesia. Local anaesthesia reduces pain by blocking sodium channels, however, many patients find the injection process anxiety-inducing.1 It is not only just pain that makes many patients uncomfortable. The plethora of

February 1, 2015 Feature AnesthesiologyDentistry

The Use of Automated Office Blood Pressure Devices in the Dental Practice

by Soheil Khojasteh, DDS

Blood pressure (BP) measurement can be a difficult and time-consuming task in the dental office. Many general practitioners avoid measuring their patients’ blood pressures, and some wonder, “Why should I even measure blood pressure in the office?” However, there are

February 1, 2015 Feature AnesthesiologyDentistry

An Approach To Pain Management With Non-Opioid Drugs

by Dr. Alia El-Mowafy &Dr. Peter Nkansah

It has been estimated that seventy-five percent of adults experience an element of dental anxiety, and that in ten percent of patients, such fear can prevent them from making a visit to the dental office in the early phase of

February 1, 2015 Feature AnesthesiologyDentistry

Articaine and paresthesia in dental anaesthesia: neurotoxicity or procedural trauma?

by Dr. Mihaela Toma,1 Dr. Michael Berghahn,2 Stefan Loth,2 Bernardo Verrengia,3 Dr. Luigi Visani,4 Dr. Fabio Velotti4 1PharmaPart AG, Switzerland; 2Pierrel Research Europe GmbH, Germany, 3Pierrel Pharma srl, Italy; 4Genes Holding SA, Switzerland

INTRODUCTIONThe hypothesis that articaine, a local anesthetic with well-established effectiveness widely used in dentistry, might have neurotoxic effects is continuously under intense discussion. A number of reports claim to provide a basis for the opinion that articaine is related to

February 1, 2015 Feature AnesthesiologyDentistry

Local anaesthesia: Improving the patient experience

by Gregori M. Kurtzman, DDS, MAGD, FPFA, FACD, DICOI, DADIA

In health care dentists are often referred to as the local anaesthesia experts as we provide localized anaesthesia as an integral part of what is performed daily. When thinking of going to the dentist, this is the one aspect that

April 14, 2014 News AnesthesiologyDentistryGeriatric DentistryOral HealthOrthodontics

Celebrating two of Oral Health’s Editorial Board Members with the U of T Faculty of Dentistry Teacher of the Year Award

by Oral Health Group

Drs. Peter Nkansah and Randy Lang won University of Toronto Teacher of the Year awards at the Dental faculty recently. Dr. Nkansah won for 2nd Year and Dr. Lang won for 4th Year.   Congratualtions to both of these editorial

February 1, 2014 Feature AnesthesiologyDentistry

Check Please

by Peter Nkansah, DDS, Dip. Anaes., Specialist in Dental Anaes. (Ont.)

Through 2013, I was fortunate enough to be a student in a year-long mini-residency in implant dentistry instructed by Dr. Jim Lai and Dr. Joe Fava through the University of Toronto. It was a wonderful course that I recommend wholeheartedly

February 1, 2014 Feature AnesthesiologyDentistry

Treatment and Billing Practices Among Dentists Providing Dental Care for Children in Publicly Funded Programs

by Kenneth G. Rawson, DMD; Marcia M. Ditmyer, PhD; Raymond D. Rawson, DDS, MA

ABSTRACTObjective: The purpose of this paper was to review treatment and billing practices by Nevada dentists participating in Public Funded Programs (i.e., Medicaid, CHIP), which can lead to higher costs and unnecessary treatment of children needing dental care. Methods: Seventy-five thousand

February 1, 2014 Feature AnesthesiologyDentistry

The Mystery of Meal Time Swellings Revealed

by FM Jadu, EWN Lam

Patients often present with complaints that are not directly related to structures in the oral cavity, but rather to those around it. The salivary glands are examples of peri-oral structures that are sometimes at the root of a dental patient’s

February 1, 2014 Feature AnesthesiologyDentistry

Trends in Paediatric General Anesthesia in Canada

by Andrew C. Adams, BHSc, DDS

In October 2013, the Canadian Institute of Health Information (CIHI) released a very thorough and comprehensive report entitled: Treatment of Preventable Dental Cavities in Preschoolers: A focus on day surgery under general anaesthesia. The report states that every year in