Subject(s)
Compartment Syndromes/complications , Diabetes Mellitus, Type 1/complications , Diabetic Angiopathies/complications , Adult , Anterior Compartment Syndrome/complications , Anterior Compartment Syndrome/surgery , Compartment Syndromes/surgery , Diabetic Angiopathies/surgery , Fractures, Ununited/surgery , Humans , Male , Mandibular Fractures/surgery , Postoperative Complications/surgery , TibiaABSTRACT
Oral surgeons are frequently called upon to extract children's nonrestorable teeth. The procedure is often accomplished with either mask-induced general anesthesia or physical restraint with local anesthesia techniques. This article reviews many of the salient issues surrounding pediatric dental extraction and the techniques used for this procedure. It also highlights their difficulties. Special attention is paid to the pharmacology of midazolam and ketamine, and a protocol for dental extractions is defined.
Subject(s)
Hypnotics and Sedatives/administration & dosage , Preanesthetic Medication , Tooth Extraction , Anesthesia, Dental , Anesthesia, Inhalation , Anesthesia, Local , Anesthetics, Dissociative/administration & dosage , Anti-Anxiety Agents/administration & dosage , Child , Child, Preschool , Humans , Ketamine/administration & dosage , Midazolam/administration & dosageABSTRACT
Mucosal inserts increase the retention of any well-made denture but should not be attempted as a substitute for good prosthetic technique. They are especially useful with the trauma or cancer patient where functional anatomy has been altered. Final results of the patient's removable prosthesis will depend on mechanical, anatomical and psychological factors. The mucosal insert denture can satisfy the expectations of many of these patients, if the patients are informed and managed properly.
Subject(s)
Denture Retention/instrumentation , Mouth Mucosa/surgery , Humans , Male , Mandibular Injuries/rehabilitation , Wounds, Gunshot/rehabilitationABSTRACT
The routine use of gloves as a barrier technique is recommended by the American Dental Association and the Centers for Disease Control. The use of the electrical pulp tester necessitates that the dentist contact the patient's skin or mucosa to complete the circuit. A technique is presented that simplifies the operation of the electrical pulp tester by the dentist wearing gloves. Advantages of this method include a sound barrier technique, an enhanced psychological benefit to the dentist, and an abatement in discomfort for the patient.
Subject(s)
Dental Pulp Test/methods , Dental Pulp Test/instrumentation , Dentist-Patient Relations , Electric Stimulation/instrumentation , Electric Stimulation/methods , Gloves, Surgical , Humans , Infection Control , Pain/prevention & controlABSTRACT
The outlook for children suffering from this most common soft tissue sarcoma is vastly better today than it was 15 years ago, when fewer than 20 percent of its victims survived. Continuing advances in treatment should increase survival rates even more in the future.
Subject(s)
Head and Neck Neoplasms , Rhabdomyosarcoma , Child , Head and Neck Neoplasms/pathology , Humans , Male , Rhabdomyosarcoma/pathology , Temporal Bone/pathology , Temporal Lobe/pathologySubject(s)
Lumbar Vertebrae , Osteomyelitis/etiology , Periodontal Diseases/complications , Spinal Diseases/etiology , Thoracic Vertebrae , Back Pain/etiology , Clindamycin/therapeutic use , Fusobacterium/isolation & purification , Humans , Male , Middle Aged , Osteomyelitis/drug therapy , Osteomyelitis/microbiology , Periodontal Diseases/microbiology , Spinal Diseases/drug therapy , Spinal Diseases/microbiology , Staphylococcus aureus/isolation & purification , Streptococcus sanguis/isolation & purificationSubject(s)
Finger Injuries/etiology , Oximetry/instrumentation , Adult , Blister/etiology , Humans , Male , Oximetry/adverse effects , PressureSubject(s)
Jaw Cysts/pathology , Maxillary Sinus/pathology , Mucocele/pathology , Adult , Female , Humans , Jaw Cysts/classification , Jaw Cysts/diagnostic imaging , Maxillary Sinus/diagnostic imaging , Mucocele/diagnostic imaging , Paranasal Sinus Diseases/diagnostic imaging , Paranasal Sinus Diseases/pathology , Tomography, X-Ray ComputedABSTRACT
Contamination of the eye after handling of a transdermal scopolamine patch may cause accidental mydriasis. A simple office test is discussed to identify this pharmacologic blockade and thereby avoid an extensive neurologic workup.
Subject(s)
Mydriasis/chemically induced , Pilocarpine , Scopolamine/administration & dosage , Administration, Cutaneous , Adult , Delayed-Action Preparations/adverse effects , Female , Humans , Scopolamine/adverse effectsABSTRACT
A retrospective analysis of 105 mandibular fractures associated with incompletely erupted third molars was undertaken. It was found that there was no difference in the rates of complication if the teeth were retained or extracted, or if an open or closed reduction was performed. The combination of tooth retention with open reduction, however, shows a trend toward being the treatment most prone to postoperative complications.
Subject(s)
Mandibular Fractures/surgery , Molar, Third , Tooth Loss/epidemiology , Tooth, Impacted/complications , Tooth, Unerupted/complications , Fracture Fixation/adverse effects , Fracture Fixation, Internal/adverse effects , Humans , Incidence , Postoperative Complications , Retrospective Studies , Tooth Extraction/statistics & numerical data , Tooth, Impacted/surgery , Tooth, Unerupted/surgery , Wound HealingABSTRACT
Fibrosarcoma is a relatively rare malignant tumor found in the head and neck region. Pain and swelling are the two most frequent symptoms, but other findings include paresthesia, trismus, loosening of teeth, ulceration, swelling, and pathological fracture. This case report underscores the importance of early diagnosis and detection of oral neoplasms to minimize therapeutic intervention.
Subject(s)
Fibrosarcoma/pathology , Mandibular Neoplasms/pathology , Adult , Diagnosis, Differential , Female , Humans , Mandibular Diseases/pathology , Osteomyelitis/pathologyABSTRACT
A rare case of cholesteatoma of the maxillary sinus is presented, and its differential diagnosis, etiology, and treatment are discussed briefly.
