Are you compliant with the current regulated IPAC protocols in your clinic? By now, every dentist should be acutely aware that changes are necessary to traditional IPAC processes. All clinics must now follow the latest protocols created by the Provincial Infectious Diseases Advisory Committee (PIDAC) and the RCDSO Standards of Practice for Infection Prevention and … Read more
(Updated March 2020) The profession of dentistry in Canada, particularly in Ontario, has experienced some negative publicity in recent years as a result of practices that have been inspected and closed due to infection prevention and control breaches. In some of the cases, patients were notified that they may have been exposed to infectious diseases … Read more
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 before being systemically available.1 The IV route will offer faster onset, but IV access can … Read more
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 where sedative medications reduce the protective airway reflex that under normal conditions prevent aspiration. The … Read more
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 a case report of epistaxis encountered during dentistry under deep sedation. In addition, the anatomy, … Read more
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 is still able to respire through the nares (or one naris) in such a way … Read more
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 achieve 100 percent of the time. This can be stressful for both dentist and patient … Read more
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 independently maintain ventilatory function may be impaired. This can result from an inability for the … Read more
“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 profession, is over-regulated. While it’s true that we have rules governing everything in our practices … Read more
Dental professionals have different dental CE needs. What stage are you at? One of the best lines I heard from one of my professors in dental school was as I was nearing the end of my dental schooling. He said, “We did not teach you how to be dentists. We gave you the tools to … Read more
On January 30, 2020, the World Health Organization (WHO) declared a “public health emergency of international concern”, meaning that it considers the emergence of novel coronavirus “an extraordinary event” posing a “public health risk … through the international spread of disease”. The WHO’s unsettling announcement arrived the same week the first few cases of Coronavirus … Read more
Instagram has over a billion active monthly users. What’s more, over half of Instagram’s users are 34 years old or younger. For anyone looking to grow their practice, these numbers say a lot – if you want to reach new patients, especially young new patients, Instagram is the place to be. The social media juggernaut … Read more
1/3 The Experienced Dentist Pocketbook — A Three Part Series Dwight D. Eisenhower said, “In preparing for battle I have always found that plans are useless, but planning is indispensable.”, throughout our adult life, retiring seems fairly far away. It might be argued that our adult life is too busy and overwhelming, one does not … Read more
The benefits of good oral hygiene are undeniable. Nonetheless, patients often forego a proper hygiene routine only to end up under the spotlight for a painful root canal. In much the same way, employers often overlook proactive hiring practices only to find themselves in a precarious position when faced with a lawsuit by a disgruntled … Read more
Dr. Koosha received his DDS from the University of SBMU School of Dentistry in 1998 and has since completed extensive post graduate training in Implantology from Harvard; Sedation courses from the University of Toronto; and Orthodontic and TMJ Disorders through Dr. Brock Rondeau Residency. Dr. Koosha practices in Vaughan since 2015, along with his wife, … Read more
It seems like every business is starting their own blog these days, and dental practices are no different. A blog can help you engage with your customers and also seek new clients. If this is an interesting concept for your dental practice, read this article for a guide on starting your own dental blog. 1. … Read more
If you read this month’s Data Driven Dentistry feature, it focuses on the importance of loyalty to help your practice grow. Based on our survey findings, the data tells us that the number one reason your patients trust you is because of the relationship you’ve created with them. This stands true to any workplace environment. … Read more
Oral Health is delighted to share a first look at part three of our Data Driven Dentistry series! Following the success of our first two comprehensive surveys and the valuable results that came from it, we chose to survey patients once again, only this time dig a little deeper. The results that we will share … Read more
Abstract The identification of lesions within the osseous structures in children is essential to ensure timely surgical intervention, and to minimize or correct hindrances to the development of a healthy dentition and bone structure. These lesions tend to present in the absence of symptoms, are slowly growing, and are commonly identified either as a secondary … Read more
Résumé Les malformations artérioveineuses (MAV) sont des lésions vasculaires rares issues d’artères et de veines qui présentent des défauts structuraux d’origine congénitale. Leurs présentations clinique et radiographique particulières en rendent l’identification et le diagnostic complexes par les professionnels dentaires. Cette étude de cas révèle l’histoire d’un jeune homme de 14 ans, autrement en santé, s’étant … Read more