Showing posts with label Oral Medicine. Show all posts
Showing posts with label Oral Medicine. Show all posts

September 28, 2011

Oral Malodor: Causes, Assessment, and Treatment

Oral malodor has been recognized in the literature since ancient times. However, in the last 5 to 6 years, it has come to the forefront of public and dental professional awareness. Oral malodor is caused mainly by facultative bacteria on the tongue that produce volatile organic compounds. Traditional assessment methods include organoleptic measurements and gas chromatography. Newer techniques make diagnosis more convenient, and the electronic nose is in the early stages of development. After assessment, active practices of using proper oral hygiene products and making small lifestyle changes can reduce the amount of oral malodor significantly for an individual. Understanding causes, assessment, and treatment of oral malodor can help dental professionals find ways to decrease its prevalence and increase their patients’ well-being.
More than 50% of the general population has oral malodor,1 commonly known as “bad breath.” Present-day research has shown sulfur-producing anaerobic bacteria on the tongue form certain volatile organic compounds (VOCs) that produce unpleasant odors in the mouth. Numerous methods are used for assessing oral malodor severity. Traditional oral malodor assessment methods include organoleptic measurements and gas chromatography, while advanced technology has given rise to machines that make diagnosing oral malodor in dental clinics more convenient.
Diagnosis is only the first step in treatment. On consultation by dental professionals, patients must take further action to control and manage oral malodor in their daily lives. They can accomplish this either mechanically or chemically. Each case is treated differently, depending on its origin. By having a holistic grasp of where oral malodor originates and how to analyze and treat it, future dental products can be made to better cater to these patients. The consequences of having oral malodor are twofold. Oral malodor not only makes the individual feel uncomfortable in public places but also can be an indication of the individual’s overall well-being. Thus, careful analysis of oral malodor can be used as an approach in diagnosing systemic diseases and understanding how lifestyle habits affect oral health.

Prescribing Recommendations for the Treatment of Acute Pain in Dentistry

Effective acute pain management is an essential but sometimes challenging component of dental practice. Numerous studies have examined the efficacy of various analgesic agents in dental postoperative models. This article combines an evaluation of the available evidence with current prescribing patterns to provide dental practitioners prescribing recommendations for acute pain, based on the anticipated severity of post-procedural pain. An important consideration when prescribing analgesics is to determine for whom opioid analgesics are necessary and appropriate, and if so, the dose and quantity that should be prescribed. This is partly because of the prevalence of substance and alcohol abuse that can be expected to be encountered within the dental patient population, and because substance abusers in the community frequently obtain prescription drugs from friends and family for misuse.
A number of dental procedures cause acute post-procedural pain, making effective pain management for all patients an essential component of dental practice.1 Achieving adequate and safe pain relief may be more challenging in some patient populations, such as those with substance abuse or chronic pain disorders.2,3However, pain following certain dental procedures can be anticipated, which provides dentists an opportunity to thoughtfully plan and optimize the management of acute pain.

September 25, 2011

ORAL DIAGNOSIS IN GENERAL DENTAL PRACTICE

One of the primary goals for healthcare providers is to prevent disease and to arrest and even reverse the progression of any condition that is already present. A dental clinician’s most important function is the thorough assessment and evaluation of the patient’s oral and associated systemic health. An examination should not focus just on the dentition and the immediately surrounding periodontal tissue—the other structures and conditions of the oral cavity, head and neck, and systemic health are also vitally important. When examining the oral cavity, practitioners may overemphasize a single disease process, such as oral cancer, as the reason for the examination, rather than to ensure that all of the structures are healthy and within normal limits, and that any abnormality—whatever it may be—be discovered as early as possible. By effectively communicating examination and screening procedures, clinicians can greatly improve the perception of the importance of frequent and routine dental care.
The “loss leader” dental office promotions—free exams, free consultations—are often used to entice patients into a practice so more financially profitable procedures can be performed. These promotions have contributed to devaluating the perceived importance, benefit, and reimbursement of a complete and thorough examination for the patients, clinicians, and third-party payers such as insurance providers alike.

September 24, 2011

Headache Orofacial Pain and Bruxism


  • Hardcover Reference
  • 400 Pages
  • Imprint: Churchill Livingstone
  • ISBN: 978-0-443-10310-0
  • Copyright: 2010
  • Download

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