Oral Health Group

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

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

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

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

February 1, 2014 Feature AnesthesiologyDentistry

Diagnostic Challenge

by Oral Health

CASE A post-orthodontic panoramic radio­graph was acquired on a 27-year-old female patient. On this panoramic radiograph, an altered bone pattern with a mixed radiolucent/radiopaque density was noted in the periapical region of the right mandibular premolar and molar teeth. A

February 1, 2014 Feature AnesthesiologyDentistry

Welcome to the Pacific Dental Conference

by Pacific Dental Conference

 The 2014 Pacific Dental Conference will once again be held at the Vancouver Convention Centre, West Building. We’re excited to see the consistent growth of the conference over the past years with a new record of 12,200 participants in attendance

IDEM Singapore
September 17, 2013 News Cosmetic / AestheticDental HygieneDental LaboratoriesDental TechnologyDentistryGeneral PracticeMaterials & TechnologyOral HealthOral SurgeryPublic Health

IDEM SINGAPORE 2014 – Widespread Optimism among North American Companies Regarding Export Prospects In South East Asia

by IDEM 2014 Singapore (International Dental Exhibition and Meeting)

IDEM 2014 Singapore (International Dental Exhibition and Meeting) will open its doors in 7 months. The event is widely considered to be one of the premier dental industry trade shows and conferences for the fast growing Asian Market. Early sign-ups

CASE:  A 45-yr-old male presented for restorative treatment under deep intravenous sedation indicated by dental anxiety to the sound of the drill. The medical history included sleep apnea, depression, paranoid delusional disorder, insomnia, chronic pain from sciatica, and obesity (BMI 36.1 kg/m2). Current medications included daily use of morphine 240 mg, three tablets of Percocet, haloperidol 3 mg, amitryptyline 75 mg, zopiclone 7.5 mg and 8 cups of coffee. The patient rigidly followed preoperative instructions, ingesting no food after midnight, having only water or apple juice three hours prior to the afternoon appointment, in addition to his prescribed medications. Induction was achieved with midazolam, fentanyl, glycopyrrolate and a propofol bolus and infusion. The patient was spontaneously ventilating and the airway was supported throughout. Haemodynamics were stable throughout. Emergence and recovery was uneventful, except for postoperative headache which persisted in the evening despite administration of ibuprofen 400 mg po during the recovery period.
February 1, 2012 Feature AnesthesiologyDentistry

Caffeine Withdrawal from Procedural Sedation

by Michelle Wong, DDS, Peter Copp, DDS, BScD (Anaesthesia), FADSA

CASE: A 45-yr-old male presented for restorative treatment under deep intravenous sedation indicated by dental anxiety to the sound of the drill. The medical history included sleep apnea, depression, paranoid delusional disorder, insomnia, chronic pain from sciatica, and obesity (BMI

February 1, 2012 Feature AnesthesiologyDentistry

Glucagon in the Dental Emergency Kit?

by Joonyoung Ji, DMD

The prevalence of diabetes mellitus in the general populace continues to grow, and along with increasing life expectancy it can be expected that dentists will have an increasing proportion of diabetic patients. Data from Statistics Canada show in the period

Figure 1 - A poster advertising a "laughing gas" exhibition in 1845. (Image taken from http://www.general-anaesthesia.com/people/laughinggas-poster.html)
February 1, 2012 Feature AnesthesiologyDentistry

A History of Patient Comfort (Part 2) – Passing Gas (1540-1847)

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

The story of inhalational anaesthesia leading up to Ether Day is as much about personalities as it is about science. Actually, it’s more about the people than the chemistry. Oxygen, nitrous oxide and ether were each discovered before their use