dentist

Fluoridated Water: Still a Valuable Tool, but Benefits May Be Diminishing

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Tooth decay remains a significant public health concern worldwide. For decades, adding fluoride to community water supplies (CWF) has been a cornerstone of dental health strategies. However, a recent Cochrane review (titled “Water fluoridation for the prevention of dental caries” written by Tanya Walsh and et. al., 2024) suggests that the benefits of CWF may be less pronounced today than in the past, particularly in developed countries where fluoride toothpaste is widely used. The Review’s Findings: The review analyzed 157 studies comparing tooth decay in children living with fluoridated water and those without. Why the Change? The authors attribute this shift to the widespread use of fluoride toothpaste. With fluoride readily available through oral hygiene products, the incremental benefit of CWF may be less pronounced in modern populations. Important Considerations: The review emphasizes that these findings do not negate the … Read more

Updated Guidance on Patient Shielding During Dental x-rays

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An interesting artice titled “Patient shielding during dentomaxillofacial radiography,” written by Erika Benavides and et. al. appears in the Journal of the American Dental Association (vol. 154, no. 9, pp. 826-835, 2023). The article discusses the American Academy of Oral and Maxillofacial Radiology updated evidence-based recommendations and clinical guidance for patient contact shielding during dental x-rays. Types of dental x-rys include intraoral, panoramic, cephalometric, and cone-beam computed tomographic (CBCT) imaging and even in some cases multidetector computed tomography (CT), to evaluate the jaws and soft tissues. Dentists attempt to perform imaging techniques while minimizing patient radiation dose and offering the diagnostic views. Any benefits from imaging must outweigh any potential radiation risks. Shielding is a common practice reduce radiation exposure to sensitive tissue. Gonadal shielding is a long-standing practice during imaging that aims to reduce the risk of radiation-induced hereditary … Read more

Tragedy in Southern Manitoba Canada: Young Woman Dies Following Dental Procedure

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A heartbreaking incident has occurred in southern Manitoba Canada, where a 23-year-old woman tragically passed away following a routine dental appointment. The Manitoba Dental Association confirmed the news stating that the woman, residing in the Morden-Winkler area, experienced a medical emergency during the procedure on November 27th. Despite being transported to the hospital immediately, the young woman sadly passed to her condition. Investigation Underway The Manitoba Dental Association has launched a thorough investigation into the circumstances surrounding this tragic event. The association’s president, emphasized their commitment to uncovering the facts. The specific nature of the dental procedure or whether anesthesia was involved was not disclosed yet in this case. It was however confirmed that information is being gathered from both the dental clinic and the Southern Regional Health Authority. Rare but Serious While deaths following dental procedures are thankfully rare, … Read more

Local Anesthesia Leads to Temporal Muscle Ossification

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An interesting article titled “Traumatic myositis ossificans of the temporalmuscle after dental local anesthesia,” written by S.B. Helland and T.Ø. Pedersen appears in Clinical Case Reports (no. 11, pp. e7410, 2023). The article describes a case of a thirty year old woman who developed ossification of the temporal muscle attachment after local trauma during dental treatment which prevent her from opening her mouth. The thirty year old woman presented four months after having had a root canal treatment of a maxillary premolar tooth when local anesthesia was given near the right temporal muscle attachment. At the time she noted a sharp pain right after the injection was given. He also experienced persistent limited mouth opening after the dental treatment. Computer tomography was taken when the woman presented four months later which showed a bony growth roughly 3cm in length extending … Read more

Using Low Dose Naltrexone for Treating Burning Mouth Syndrome

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An interesting article titled “Low Dose Naltrexone for Treatment of Burning Mouth Syndrome” appears in Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology written by L. Sangalli and C. S. Miller (Published April 30, 2022). The article discusses using a low dosage of naltrexone to treat burning mouth syndrome (BMS) that started after a woman had a tooth extraction. In the article discussion is made of a 62 year old woman who had been experiencing BMS the the last three years. She had had a tooth extracted three years earlier and the pain she was experiencing was at the site of the extraction. After some time pain went away but then a year or so after the extraction the woman began experiencing BMS at the dorsum of her tongue. She reported tingling and burning sensations and the pain flucated between … Read more