ABSTRACT
Sometimes, sensory disorders occur without any organic etiology which this entity could make problem in diagnose and treatment. Therefore, the aim of this present study was to evaluate the psychiatric treatment effects on unexplained oral and maxillofacial sensory disorders. In this experimental study, 20 patients with diagnosis of unexplained oral and maxillofacial sensory disorders whit out any organic origin were examined. The severity of symptoms was documented based on a 0-5 numerical scale by patients. The patients were referred to the psychologist for their problems. All subjects were controlled per two weeks for about 6 months and in each follow up their severity of symptoms were detected. The mean of severity of sensory disorders was compare before and after treatment by t- test. In this study, there was a positive correlation between psychiatric treatment and increasing in severity of patient's symptoms. The mean of severity of sensory disorders before treatment was 4 unit and after that reached to 1.1 unit. The rate of therapeutic effect was higher in men than women. Also, the rate of response to the treatment in patients with involutional melancholia was better than patients with other psychological disorders. The results of this study showed, that/ severity of unexplained oral and maxillofacial sensory disorders decreased after psychiatric treatments
ABSTRACT
Despite the absence of any signs of infection in the oral cavity, all dentists and specialists should take prevention of infection and conditions leading to high risk infection into account. Antibiotic prophylaxis could inhibit or lessen the rate of such occurrences
The aim of this review was to describe all risks and side effects of missing prophylaxis and also to mention mechanisms and conditions which precipitate these risks. Hence, we could categorize and exactly define these risks and patients at risk and recommend the best approaches to preventing the risks, selecting antibiotic type, appropriate time for indication, duration of administration, and also all changes based on specific cases
ABSTRACT
We report a case of 50- year-old diabetic edentulous woman [FBS=396mg/dl] with chief complain of left side facial pain treated by her physician with corticoid and antibiotic for 15 days without any improvement. With pain exacerbation and skin paresthesia she was referred to oral medicine department of Mashhad school of dentistry by a neurologist with diagnosis of dental infection. On examination, she had left side facial palsy, ptosis, and a mass which was anterior to her left ear. Left eye had loss of vision and was fixed. Due to involvement of II, III, IV, V, VI, VII cranial nerves, maxillary sinus, orbit and base of the skull we referred her to neurosurgery department with clinical diagnosis of mucormycosis. Left maxillectomy along with enucleation of left eye was carried out. Histopathology confirmed the diagnosis. Patient was put on amphotericin B under medical care in hospital. Follow up showed the patient is responding and in good health. Early diagnosis and prompt treatment can reduce the mortality and morbidity of this lethal fungal infection
ABSTRACT
The purpose of this study was to determine the frequency of psychiatric disorders in patients with oral lichen planus. In this descriptive cross sectional study, all the patients with oral lichen planus referred to Oral Medicine Department of Mashhad dental school [from September to October 2003] were examined by a psychiatrist and according to the criteria set by DSM-IV-IR, the presence and type of psychiatric disorders were evaluated. The data were analysed by chi-square and t-tests. Among 56 patients examined, 54 [96/43%] subjects were diagnosed with at least one psychiatric disorder. 96.41% of subjects were categorized as anxiety disorders. In this study, majority of the patients, with oral lichen planus had psychiatric disorders. So psychiatric disorders could have a role in developing oral lichen planus
Subject(s)
Humans , Mental Disorders/epidemiology , Psychiatry , Schools, Dental , Cross-Sectional StudiesABSTRACT
The term bioadhesion refers to the attachment of a natural or systhetic polymer to a biological substrate: when this substrate is mucus, mucodhesion is the term used. The aim of this study was formulation and clinical evaluation of the first mucoadhesive film in Iran. In this clinical trial four mucoadhesive films [A, B, C, D] were formulated based on theoretical knowledge of adhesive polymers and physical properties of a mucoadhesive layer. For this, Hydroxy Propyle Metyle Cellulose [HPMC] polyvinyl povolidion [PVP] and carbapol [C], were used as adhesive layer and nitrocellulose [NC] and Ethylcellulose [EC] were used as hydrophobe layer. Films were assessed in a double-blind clinical trial study among 20 healthy volunteers on attached gingiva of maxillary canine. Maximum duration of attachment of films and effects of related factors were evaluated. Data were analysed using SPSS and by chi-square, t-test and repeated measurements. There was a significant difference among four films according to mean duration of adhesion [P<0.001] so as film A showed maximum adhesion time [13 hours] and film D showed minimum adhesion time [5.15 hours]. Mucosal compatibility of the adhesive films was good and eating and drinking had no effects on seperation of films from gingiva. It seems that film A is appropriate for mucosal adhesion. Further studies with different dimensions on this film are needed prior to its use as a mucoadhesive film in oral mucosa
Subject(s)
Humans , Clinical Trials as Topic , Dental Materials , Dental Cements , Mouth MucosaABSTRACT
Age-related macular degeneration usually affects people 50 years of age or older and is a most common cause of central visual loss. In this study the alterations in the levels of plasma lipoprotein [a] [Lp [a]] a Homocysteine [Hcy] and malondialdehyde [MDA] were investigated, and their serum Levels qua age related macular degeneration risk factors compared between patient and control groups. In a case-control study, 44 dry type AMD patients from Nikookari eye hospital of Tabriz and 54 normal subjects, were studied. The serum levels of Lp [a] were assayed by immunoturbidimetric method, serum Hcy was analyzed by ELISA method. MDA and lipid profile concentrations were determined by tiobarbituric acid and spectrophotometric methods respectively. Levels of Cho, TG, LDL-C, Lp [a] and Hcy were significant and higher in patients than in control group [p<0.05 in all cases]. Level of TG, HDL-C and MDA were not significant and similar in the two groups [p>0.05 in both cases]. Increased Lp [a], Hcy, MDA and lipid profiles seems to be associated with AMD and may be involved in the pathogenesis of this disease. Therefore, alterations af serum level of these factors may effectual way for prevention and progression of AMD