use of proteolytic enzyme therapy in oral surgery

1- The use of proteolytic enzymes trypsin and chemotrypsin enhances the healing process of jaw fracture and significantly reduced the degree or both post-traumatic and post-operative edema when used in different cases of fractures of the facial skeleton. 2- To achieve satisfactory healing of cysts, the authors recommend treatment by enucleation, together with reduction of the size of cyst cavity by cutting away expanded cortical plate of bone and putting in mattress surfaces. At the same time, the patient should be given prophylactic antibiotic therapy and proteolytic enzymes. 3- Trismus and pain suffered by a patient who has undergone surgery for removal of lower third molars can be considerable reduced by the use of proteolytic enzyme therapy. 4- The types of bacteria giving rise to odontogenic or non odontogenic cervicofacial abscesses have been defined in this study into, streptococci and staphylococci. Streptococcal infection is best treated by ampicillin or erythromycin. For staphylococcal and gram negative infection cotrimoxazole, erythromycin or a cephalosporin, where no differentiation is possible or mixed bacteria is present erythromycin is the first choice. Accordingly the proper selection of antibiotic, proper drainage together with proteolytic enzyme therapy which was found to be effective in the rapid debridement of the abscesses, is our recommended line of treatment of all cervicofacial abscess

Assessment of different techniques for repositioning of the impacted maxillary canine

Fifty nine cases of impacted maxillary canines were transplanted. They were divided into two groups according to the method of fixation. Group I, 36 cases of impacted maxillary canine were fixed by extrabony fixation [arch bar and eyelet wire]. Group II, 23 cases of impacted maxillary canine were fixed by intrabonv fixation [transosseous wiring], were transplanted teeth were fixed to, either the buccal or palatal cortical plate of bone. Unlike the other methods, this one is simple, rapid and uses inexpensive material that are readily available in any dental office

effect of thyroid disorders on the healing process in albino rats

Experimental study on the healing process in sixty albino rats subjected to extraction of the central incisor was performed. Three groups were included; control group, T[3] administration group, and hypothyroid state group with neomercazol intake in their diet. Enhancement of the healing process in the second group, conversely delayed healing process in the third group was detected. The explanation were discussed in the text

Primary and recurrent periapical granuloma and cyst clinical and histochemical study

Clinical examination of 180 cases with periapical granulomata and cysts showed that the maxilla was more frequently affected. A higher incidence was found in patients under 20 years age, with a greater rate of recurrence after surgical treatment. Histochemical study lessens the possibility of infection to be the primary cause of recurrence and epithelial remnants were suggested

effect of extraction and lidocaine local anaesthetic on the platelets adhesiveness in diabetics and non diabetics

Dental surgical manipulation is commonly believed to represent a stress to the diabetic patient. Anxiety of the surgery, metabolic effect of anaesthesia and surgical procedures are considered to be the main aetiological factors. Significant increase in platelet adhesiveness was found in diabetics as compared with the control cases