ABSTRACT
Approximately 10% to 20% of all cases of eosinophilic granuloma occur in the jaws. A palpable mass with or without pain is the most frequent presenting clinical feature. Less common clinical signs include gingivitis, loose teeth, and oral ulceration with poor healing. We report a case of monostotic mandibular eosinophilic granuloma in a 38-year-old woman that initially manifested mandibular body fracture, an unusual and poorly documented clinical sign for this disease. The clinical and radiographic features, differential diagnosis, and treatment plan of the case are presented.
Subject(s)
Eosinophilic Granuloma/complications , Eosinophilic Granuloma/pathology , Fractures, Spontaneous/etiology , Mandibular Fractures/etiology , Adult , Female , Humans , Langerhans Cells/pathologyABSTRACT
Despite approximately 40 years of experience with oral anticoagulant drugs, controversy still exists about the safety of dental treatment in a patient receiving this therapy. The authors review the topic in depth and offer detailed recommendations for the dental management of patients receiving coumarin anticoagulant therapy.
Subject(s)
Anticoagulants , Coumarins , Dental Care for Chronically Ill/methods , Anticoagulants/administration & dosage , Anticoagulants/agonists , Anticoagulants/antagonists & inhibitors , Anticoagulants/chemistry , Clinical Protocols , Coumarins/administration & dosage , Coumarins/agonists , Coumarins/antagonists & inhibitors , Coumarins/chemistry , Drug Interactions , Drug Monitoring/standards , Oral Hemorrhage/prevention & control , Postoperative Hemorrhage/prevention & control , Prothrombin Time , Reference StandardsABSTRACT
Odontogenic keratocysts comprise approximately eight percent of all jaw cysts and have a significant recurrence rate. Following a review of the literature, the treatment of two patients with such cysts is described.
Subject(s)
Mandibular Diseases/surgery , Odontogenic Cysts/surgery , Adolescent , Adult , Diagnosis, Differential , Humans , Male , Mandibular Diseases/pathology , Odontogenic Cysts/pathology , Radiography, Panoramic , Recurrence , Tomography, X-Ray ComputedABSTRACT
In a survey of military dentists to examine use of antimicrobial agents in the management of third molars, questions addressed use of antibiotics and an antimicrobial rinse in treating pericoronitis and third molar extractions. Results were compared with information from a literature review. According to the survey, a majority of clinicians use antibiotics to treat pericoronitis but not surgical extraction of asymptomatic dental impactions. About 60 percent of respondents use a preoperative rinse with chlorhexidine in treating the third molar conditions discussed. A postoperative rinse with chlorhexidine was used less frequently. Half the respondents listed medicolegal factors in their decisions.
Subject(s)
Antibiotic Prophylaxis/statistics & numerical data , Molar, Third/surgery , Practice Patterns, Dentists'/statistics & numerical data , Tooth Extraction , Anti-Infective Agents, Local/therapeutic use , Dry Socket/prevention & control , Humans , Military Dentistry , Pericoronitis/drug therapy , Surgical Wound Infection/prevention & control , Surveys and Questionnaires , United StatesABSTRACT
Fifty oral and maxillofacial surgery patients undergoing outpatient surgical removal of third molars under intravenous conscious sedation comprised the study group. All patients received 1 microgram/kg of fentanyl prior to receiving either diazepam or midazolam. The results show no statistically significant differences in blood pressure or pulse over time between the two groups, nor was there a statistically significant difference between the transcutaneous PO2 responses of the groups. However, a statistically significant time effect as well as a group by time interaction was present. Both groups show respiratory depression at the 8- and 10-minute time intervals. The use of supplemental oxygen and monitoring of respiration is recommended with the use of these drug combinations.
