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Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 187-191, 2007.
Artigo em Coreano | WPRIM | ID: wpr-784737
4.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 142-150, 2006.
Artigo em Coreano | WPRIM | ID: wpr-143226

RESUMO

PURPOSE: The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS: A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men , 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories, "Means"and "Tendency". The "Means"is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, "Tendency"is changes of vital signs in comparison with step1 during operation. RESULT: This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency"will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION: Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means"and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.


Assuntos
Feminino , Humanos , Masculino , Instrumentos Odontológicos , Dispneia , Hiperventilação , Imperícia , Mandíbula , Dente Molar , Dente Serotino , Náusea , Pacientes Ambulatoriais , Choque , Cirurgia Bucal , Suturas , Síncope , Dente , Sinais Vitais , Vômito
5.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 142-150, 2006.
Artigo em Coreano | WPRIM | ID: wpr-143219

RESUMO

PURPOSE: The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS: A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men , 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories, "Means"and "Tendency". The "Means"is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, "Tendency"is changes of vital signs in comparison with step1 during operation. RESULT: This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency"will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION: Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means"and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.


Assuntos
Feminino , Humanos , Masculino , Instrumentos Odontológicos , Dispneia , Hiperventilação , Imperícia , Mandíbula , Dente Molar , Dente Serotino , Náusea , Pacientes Ambulatoriais , Choque , Cirurgia Bucal , Suturas , Síncope , Dente , Sinais Vitais , Vômito
6.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 570-574, 2005.
Artigo em Coreano | WPRIM | ID: wpr-784653
7.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 187-194, 2004.
Artigo em Coreano | WPRIM | ID: wpr-784539
8.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 81-86, 2004.
Artigo em Coreano | WPRIM | ID: wpr-784526
9.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 110-115, 2004.
Artigo em Coreano | WPRIM | ID: wpr-784521
10.
Korean Journal of Anatomy ; : 377-386, 2002.
Artigo em Coreano | WPRIM | ID: wpr-650203

RESUMO

Many researches have focused upon temporal changes of neurotransmitters and/or neuromodulators in the central nervous system after ischemic insult. In sensory neurons, the spatial and temporal alterations of neurotransmitters have been little studied. Calbindin D-28k (CB) and calretinin (CR) have been suggested to play a role in the transmission of neurotransmitters. Therefore, in the present study we investigated the chronological alteration of CB and CR immunoreactivity in the trigeminal ganglion cells of the Mongolian gerbil after ischemic insult. In the sham operated group, CB and CR immunoreactivities were found in small -, medium -and large -sized neurons. One and two days after ischemia-reperfusion, small and large-sized CB immunoreactive neurons increased significantly. Thereafter, number of the CB immunoreactive neurons decreased markedly. Furthermore, five days after ischemia -reperfusion, CB immunoreactivity was detected in a few neurons, and its immunoreactivity was also very weak in the cytoplasm. Number of the large -sized CR immunoreactive neurons increased significantly one day after ischemia -reperfusion. Thereafter, the number of the large -sized CR immunoreactive neurons decreased. Especially, the number of the medium-sized CR immunoreactive neurons increased dramatically 4 days after ischemia-reperfusion. These results suggest that an increase of CB and CR may play an important role in modulating the mechanoception 1 day after ischemia-reperfusion, because the immunoreactivities increased in large -sized neurons which have the myenlinated A fibers. These results also suggest that significant increase of CR expression in medium -sized neurons 4 and 5 days after ischemia-reperfusion may provoke CR in modulating the nociception or thermoception because the medium-sized neurons which have the myenlinated A sigma or C fibers.


Assuntos
Calbindina 2 , Calbindinas , Sistema Nervoso Central , Citoplasma , Gerbillinae , Imuno-Histoquímica , Isquemia , Fibras Nervosas Mielinizadas , Fibras Nervosas Amielínicas , Neurônios , Neurotransmissores , Nociceptividade , Células Receptoras Sensoriais , Gânglio Trigeminal
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