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OHDR Community™

Professional clinical collaboration for medically complex dental cases.

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M.Dr. M.·Oral Surgery·2hOncology

Surgical extraction in a patient on denosumab — atraumatic approach?

Patient on denosumab 120mg/month for 18 months, neutrophils stable. Planning a non-restorable molar extraction. Currently weighing single-rooted vs sectioning approach. Looking for colleagues' MRONJ-aware protocol.

L.Dr. L.·Periodontics·5hCardio

INR 3.2 on warfarin — proceeding with subgingival debridement?

Cardiologist confirmed stable range. OHDR CARDIO 2. Anyone with experience using tranexamic rinse + sutures only?

R.Dr. R.·General·1dOncology

Reassessment window after chemo cycle for elective implant?

Solid tumor, FOLFOX every 14 days. When is the safest reassessment window to plan an elective implant surgery?

S.Dr. S.·Implantology·3hDiabetes

Implant planning in Type 2 patient — HbA1c 8.2 with mild nephropathy

OHDR DIAB III · Significant. Coordinating with endocrinology to optimize control before surgery. Anyone with experience staging the surgical phase + adjunct antimicrobial protocol?

P.Dr. P.·Pediatric Dentistry·6hPediatrics

ASD child with high sensory sensitivity — multiple restorations plan

OHDR PED III · Significant. Pediatric-adapted environment available but the child has had a difficult past sedation. Considering staged sessions with progressive sensory desensitization vs hospital dentistry referral. Insights welcome.