As dental professionals become increasingly aware of the association between systemic and oral health, the importance of addressing systemic nutrition issues takes on a new urgency. Nutrition is one of the modifiable factors that impact the host's immune response and the integrity of the hard and soft tissues of the oral cavity. While nutrient deficiencies are rare in the general population of ...

In this era of minimal intervention dentistry, the changing concept of cavity preparation and the introduction of reliable adhesive materials have lead to the development of alternative methods of caries removal. Chemo mechanical caries removal (CMCR) involves the chemical softening of the carious dentine, followed by its removal with gentle excavation. This process removes only the infected ti...

Immediate complete denture is a full arch prosthetic, inserted immediately following the extraction of all remaining teeth to replace missing dentition and associated structures. Female patient, 74 years old, came make new set but didn’t want mobile get extracted before ready because it was still needed for her old partial retention. Upon clinical examination, she has flat maxillary mandibular ...

Reconstruction of oral soft-tissue defects following resection of oral carcinomas can be achieved using various techniques including microsurgical tissue transfer. However, there seems to be a role for regional or local flaps. Small to medium-size defects can be functionally reconstructed with the platysma myocutaneous flap as an excellent choice particularly in medically compromised patients n...

When Policy Topic is covered Breast reconstructive surgery using allogeneic acellular dermal matrix products* (i.e., AlloDerm®, AlloMaxTM, DermaMatrixTM, FlexHD®, GraftJacket®) may be considered medically necessary,  when there is insufficient tissue expander or implant coverage by the pectoralis major muscle and additional coverage is required,  when there is viable but compromised or thin p...

REVERSING warfarin-induced anticoagulation quickly and effectively can be challenging in medically compromised patients presenting for emergency surgery. Anticoagulation reversal poses a delicate balance between increasing the risk of clotting and decreasing the risk of intraoperative blood loss. Furthermore, variable individual responses and warfarin’s adverse effect profile render particular ...

Oral rehabilitation in medically compromised patients like chronic kidney disease (CKD) needs special dental care. Many papers have been published on dental considerations for such individuals. However, literature citing oral care for patients with risk factors of CKD are scarce. Resistant hypertension, one such risk factor, is closely related to CKD. Furthermore, the associated increased preva...

This article reviews some of the more recent demographic changes affecting aging populations. The author expands the concept of aging to include persons who may be chronologically young but biologically old because they are medically compromised or developmentally disabled. It is not known how many persons can be included in this definition who will need care, and the question is what are their...

Special and medically compromised patients present a unique population that challenges the dentist's skill and knowledge. Providing oral care to people with cerebral palsy (CP) requires adaptation of the skills we use everyday. In fact, most people with mild or moderate forms of CP can be treated successfully in the general practice setting. This article is to review various dental consideratio...

myiasis is due to the opportunistic dipterous larvae feeding on viable or necrotic tissues of the host occurring throughout the world. we report a case of oral myiasis in an immune-compromised patient suffering from nonhodgkin lymphoma. we  would like  to  emphasize that such ectoparasitic infections may happen in  immuno- compromised patients and oral hygiene should be evaluated in all of thes...