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1st case of anesthesia-induced bone death in healthy patient

A healthy man had bone tissue death in his jaw following an anesthesia injection for a cavity, which is believed to be the first reported case of this complication. The case report was published on January 21 in the International Journal of Surgery Case Reports. This case highlights the importance of using a proper technique to prevent osteonecrosis, or avascular necrosis, which occurs when the blood supply is interrupted, resulting

1 in 10 overdoses on medication for dental pain

Approximately 80% of patients reported taking an analgesic like ibuprofen for dental pain, with about 10% of them accidentally overdosing on it. The study was published on January 17 in Basic and Clinical Pharmacology and Toxicology. A significant number of patients with dental pain may overdose, putting themselves at risk of severe systemic complications, which shines a light on the need for improved patient education and safer strategies for managing

Opinion: It’s time to reevaluate the fluoride conversation

Fluoride has long been hailed as a miracle ingredient for preventing tooth decay. But as a dentist with more than 40 years of experience, I’m here to tell you that it’s time to reevaluate the conversation. For years, fluoride’s benefits have been sold as a one-size-fits-all solution, especially in water fluoridation, yet the recent federal court ruling challenges this status quo. First, let’s bust a few myths. Fluoride isn’t a

Nonopioids top opioids for 3rd-molar surgery pain

Surgeons often prescribe opioids preemptively, though a combination of ibuprofen and acetaminophen may be the preferred choice for pain after third-molar extractions, according to a study recently published in the Journal of the American Dental Association. Patients taking nonopioids experienced a better first-night’s sleep, less postoperative pain interference, and fewer side effects, the authors wrote. “The ibuprofen and acetaminophen combination managed pain better for the first 2 days and led

New study highlights importance of best practices with infection control, pain management

The use of antibiotics and the subject of antibiotic resistance is one of the hot topics in medicine today, including dentistry. A recent news briefing by the American Society of Regional Anesthesia and Pain Medicine (ASRA) touched on that subject and discussed new infection control guidelines for regional anesthesia and pain management. During the news conference, a study (published on January 21) was highlighted that includes guidelines, developed over four

Clinicians may finally be responding to the opioid crisis

Dental care providers have significantly reduced the number of opioid prescriptions after oral surgery procedures over a 10-year period, according to a study published in January in the Journal of the American Dental Association. It not only may reflect a transition toward alternative pain management, the reduction in prescribed opioids may demonstrate the successful implementation of ADA recommendations, the authors wrote. “The substantial decrease in prescribed opioids across all study

Clinical tip: Addressing loose screws with CEREC

This week, Dr. Meena Barsoum from CDOCS returns with another quick clinical tip to help every dentist and dental practice. “So in our workshops, we get this question a lot: ‘Which type of abutment should I be using: a screw-retained or a cement-retained?’ And I know a lot of people are very, very comfortable doing a screw-retained restoration. So we talk about some of the benefits of cement-retained specifically. “With

This drug may treat postendodontic pain

Mirogabalin, a nerve pain drug, may help manage post-traumatic trigeminal neuropathic (PTTN) occlusal pain following endodontic treatment, according to an observational study recently published in the Journal of Endodontics. Furthermore, mirogabalin may offer a new treatment option for pain following root canal treatment, potentially avoiding tooth extraction by reducing overactive nerve signals, the authors wrote. “Mirogabalin was effective in treating PTTN-occlusal pain,” wrote the authors, led by Dr. Kohei Shimizu,

Wake up. Teething may not disrupt sleep.

Despite parents reporting that odontiasis affected their children’s slumber, video showed teething may not increase sleep loss or cause fragmented sleep in infants, according to a new study published January 6 in the Journal of Pediatrics. Educating parents with research about infant sleep problems may prevent potentially harmful management strategies for teething like excessive use of analgesics, the authors wrote. “These findings challenge the widely held belief that teething disrupts

The top 5 CDOCS dental tips of 2024

In 2024, HuangshanDental.com and CDOCS began a partnership to help educate dentists and dental team members on the clinical side of the practice. Using short tutorial videos and advice from CDOCS faculty, these short lessons were a big hit with our readers last year. As we enter into 2025, our partnership will continue and grow even stronger. However, before we move into the new year, let’s take one last look

Orthodontic treatment may increase the risk of teeth grinding

Nearly half of patients undergoing orthodontic treatment experienced teeth clenching and grinding, according to a study published on December 31 in BMC Oral Health. The finding suggests that orthodontic-associated tooth interferences may induce bruxism. Factors like facial type and divergence and skeletal and dental malocclusions appeared to have no effect on the onset of bruxism in orthodontic patients, the authors wrote. “There is a risk of bruxism among orthodontic patients,”

Want to make kids less stressed at the dentist? Get changed.

Dentists wearing child-friendly attire may lower children’s anxiety during their first dental injection, fostering a positive patient-doctor relationship. This study was recently published in Scientific Reports. Furthermore, dentally anxious children may show lower pain levels when treated by dentists wearing colorful, kid-friendly clothes instead of traditional white coats, the authors wrote. “A child’s friendly attire can help dentists build positive relationships with young patients and help reduce their anxiety, ”

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