Journal - Canadian Dental Association = Journal de l'Association dentaire canadienne
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Systemic lupus erythematosus (SLE) is a chronic disease with far-reaching systemic implications. The hallmark feature in SLE is chronic inflammation. ⋯ This review article offers an overview of the multiple organ systems affected by this complex heterogeneous disease process that are most relevant to both the general practitioner and the dental specialist. In particular, ways to recognize and manage the oral and dental manifestations of this systemic illness are presented.
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A 13-item survey of dentist's views about approaches to pain and anxiety management was distributed in Atlantic Canada. Respondents indicated that about 50% had training in conscious-sedation techniques and 20% had learned to administer intravenous (IV) sedation. Sixty-nine percent of those responding had used oral sedatives to help manage fearful patients. ⋯ Most (80%) believed that nitrous oxide and oxygen (N2O/O2) conscious sedation should be included in the treatments that a licensed practitioner can provide, and they were evenly divided in their opinion about the need for a separate licence for its use. However, only half of respondents believed that IV sedation should be included among a general practitioner"s treatment options, and over 70% said that this treatment should be subject to a separate licence. The implications of these findings for curriculum are discussed.
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Dermoid cysts are malformations that are rarely observed in the oral cavity. Histologically, they can be further classified as epidermoid, dermoid or teratoid. We report a case in which a 25-year-old man developed an epidermoid cyst presenting as a large sublingual swelling causing speech and swallowing difficulties. ⋯ Microscopic examination revealed a dermoid cyst of the epidermoid type. After 12 months of follow up, the cyst had not recurred. This case shows that dermoid cysts may be successfully diagnosed and managed using a series of simple yet effective clinical manoeuvres.
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Biography Historical Article
Oral health researcher: a viable career option.
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Case Reports
Sympathetically maintained pain presenting first as temporomandibular disorder, then as parotid dysfunction.
Complex regional pain syndrome (CRPS) is a chronic condition characterized by intense pain, swelling, redness, hypersensitivity and additional sudomotor effects. In all 13 cases of CRPS in the head and neck region reported in the literature, nerve injury was identified as the etiology for pain initiation. In this article, we present the case of a 30-year-old female patient with sympathetically maintained pain without apparent nerve injury. ⋯ Later, symptoms of intermittent preauricular pain and swelling developed, along with hyposalivation, which mimicked parotitis. After an extensive diagnostic process, no definitive underlying pathology could be identified and a diagnosis of neuropathic pain with a prominent sympathetic component was made. Two years after the onset of symptoms and initiation of care, treatment with repeated stellate ganglion blocks and enteral clonidine pharmacotherapy provided adequate pain relief.