MyMedR

Rubber dam application in endodontic practice: an update on critical educational and ethical dilemmas

Ahmed HM, Cohen S, Lévy G, Steier L, Bukiet F

Aust Dent J, 2014 Dec;59(4):457-63.

Proper isolation is an essential prerequisite for successful endodontic treatment. This article aims to provide an update on the prevalence of rubber dam (RD) use, and the role of education along with attitudes of general dental practitioners (GDPs) and patients towards the application of RD in endodontics. Critical ethical issues are also highlighted. Using certain keywords, an electronic search was conducted spanning the period from January 1983 to April 2013 to identify the available related investigations, and the pooled data were then analysed. The results show that although RD is the Standard of Care in endodontic practice, there is a clear discrepancy in what GDPs are taught in dental school and what they practice after graduation. There is little scientific evidence to support the application of RD; however, patient safety and clinical practice guidelines indicate that it is unnecessary and unethical to consider a cohort study to prove what is already universally agreed upon. A few clinical situations may require special management which should be highlighted in the current guidelines. This would pave the way for clear and straightforward universal guidelines.

The impact of maternal incarceration on their daughter's empathy

Thomson ND, Kuay HS, Baron-Cohen S, Towl GJ

Int J Law Psychiatry, 2017 11 20;56:10-16.

PMID: 29701594 DOI: 10.1016/j.ijlp.2017.10.010

Current Assessment of Reciprocation in Endodontic Preparation: A Comprehensive Review-Part I: Historic Perspectives and Current Applications

Grande NM, Ahmed HM, Cohen S, Bukiet F, Plotino G

J Endod, 2015 Nov;41(11):1778-83.

PMID: 26514866 DOI: 10.1016/j.joen.2015.06.014

During the evolution of mechanical instrumentation in endodontics, an important role has been played by reciprocating stainless steel files using horizontal rotational, vertical translational, or combined movements. These kinds of systems are still in use mainly as an accessory to help in the first phases of the treatment.

Current Assessment of Reciprocation in Endodontic Preparation: A Comprehensive Review--Part II: Properties and Effectiveness

Plotino G, Ahmed HM, Grande NM, Cohen S, Bukiet F

J Endod, 2015 Dec;41(12):1939-50.

PMID: 26480824 DOI: 10.1016/j.joen.2015.08.018

Many reciprocating file systems (RFs) have recently been introduced. This article reviews the properties, effectiveness, and clinical outcomes of the RFs.

Sodium Hypochlorite Accident: A Systematic Review

Guivarc'h M, Ordioni U, Ahmed HM, Cohen S, Catherine JH, Bukiet F

J Endod, 2017 Jan;43(1):16-24.

PMID: 27986099 DOI: 10.1016/j.joen.2016.09.023

INTRODUCTION: Sodium hypochlorite (NaOCl) extrusion beyond the apex, also known as "a hypochlorite accident," is a well-known complication that seldom occurs during root canal therapy. These "accidents" have been the subject of several case reports published over the years. Until now, no publication has addressed the global synthesis of the general and clinical data related to NaOCl extrusion. The main purpose of this article was to conduct a systematic review of previously published case reports to identify, synthesize, and present a critical analysis of the available data. A second purpose was to propose a standardized presentation of reporting data concerning NaOCl extrusions to refine and develop guidelines that should be used in further case report series.

METHODS: A review of clinical cases reporting NaOCl accidents was conducted in June 2016 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist; it combined an electronic search of the PubMed database and an extensive manual search.

RESULTS: Forty full-text articles corresponding to 52 case reports published between 1974 and 2015 were selected. Four main categories of data were highlighted: general and clinical information, clinical signs and symptoms of NaOCl extrusions, management of NaOCl extrusions, and healing and prognosis. Overall, up to now, clinical cases were reported in a very unsystematic manner, and some relevant information was missing.

CONCLUSIONS: A better understanding of the potential causes, management, and prognosis of NaOCl accidents requires a standardization of reported data; this study proposes a template that can fulfill this objective.

Fulltext Combined immunodeficiency in a patient with c-Rel deficiency

Beaussant-Cohen S, Jaber F, Massaad MJ, Weeks S, Jones J, Alosaimi MF, et al.

J Allergy Clin Immunol, 2019 Aug;144(2):606-608.e4.

PMID: 31103457 DOI: 10.1016/j.jaci.2019.05.003

This study reports a homozygous mutation in REL abrogating c-Rel protein expression in a patient with combined immunodeficiency characterized by susceptibility to Mycobacterium tuberculosis, Salmonella, Cryptosporidium, and cytomegalovirus.

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