Focal atrophy of the masticatory muscles caused by pure trigeminal motor neuropathy: case report.

Pure trigeminal motor neuropathy is rare and characterised by weakness of the mandibular motor branch with no signs of involvement of the trigeminal sensory or other cranial nerve. Its aetiology is unclear but it has been hypothesised that a viral infection may be a cause. Magnetic resonance imaging is useful in its diagnosis and typically shows loss of volume of the affected masticatory muscles and infiltration of fat. We describe the case of a 29-year-old woman who presented with a 12-year history of progressive facial asymmetry, which was later shown on imaging to be caused by unilateral atrophy of the masseter with compensatory contralateral hypertrophy.

LAT gel, a powerful tool underused in the repair of paediatric lacerations.

Paediatric lacerations presenting to emergency departments are a common cause of referral to surgical specialties in the UK. LAT gel (lidocaine, adrenaline, and tetracaine) is a safe and effective topical anaesthetic that can aid with the closure of uncomplicated lacerations, particularly in the paediatric trauma setting. The benefits to both the patient and management in terms of the avoidance of a general anaesthetic and the freeing up of hospital resources (e.g. beds, staffing, emergency theatre) make it an invaluable tool in the arsenal of the emergency department. The authors describe a reliable method of anaesthetizing lacerations with LAT gel and question its underuse within the emergency departments in the South West region of the UK.

An in vitro investigation of Thermafil obturation at different temperatures.

The apical leakage of lower premolars obturated with Thermafil at three different temperatures was investigated in vitro. The temperatures were determined after calibration of the Thermaprep oven. The root canals of 35 extracted teeth were prepared chemomechanically and divided into three groups of 10 each with a control group of five. The root canals of the experimental group were obturated using plastic Thermafil obturators at three different temperatures 144, 120 and 100 degrees C with the controls being obturated using laterally condensed gutta percha. The teeth were suspended in indian ink for 28 days prior to being cleared and the degree of apical leakage assessed. The results showed no significant difference (p > 0.05) in the apical leakage of the teeth obturated with Thermafil compared to laterally condensed gutta percha. There was a trend towards less leakage in the teeth obturated with Thermafil at the lower temperatures, this, however, was not significant (p > 0.05).