Anesthetic efficacy of Oraqix(R) versus Hurricaine(R) and placebo for pain control during non-surgical periodontal treatment

OBJECTIVES: To evaluate the efficacy of Oraqix(R) during scaling and root planing (SRP) in comparison with 20% benzocaine and placebo. Study DESIGN: 15 patients requiring 4 sessions of SRP were enrolled. For each patient, Oraqix(R), Hurricaine(R), vaseline or no anesthetic product were randomly assigned each to a quadrant. Treatment pain was evaluated on a 100 mm Visual Analog Scale (VAS) and on a Verbal Rating Scale (VRS). The amount of product administered, the need to re-anesthetise, patient and operator satisfaction and the onset of side-effects were also recorded. RESULTS: Oraqix(R) was significantly better than nothing, with a reduction of VAS score to 13.3 units, but without significant differences with Vaseline or Hurricaine(R). Oraqix(R) was better in VRS reduction than not using any anesthetic (p = 0.001) or using vaseline (p = 0.024), but similar to Hurricaine(R) (p = 0.232). CONCLUSIONS: Oraqix(R) effectively controls pain in SRP procedures, with few side-effects and a good acceptance on the part of patients and clinicians

Treatment of oral mucocele - scalpel versus C02 laser

Objective: To compare the results obtained after oral mucocele resection with the scalpel versus the CO2 laser,based on the complications and recurrences after surgeryPatients and Methods: Of the 68 patients we studied who have mucocele, 38 were resected with a scalpel and theremaining 30 with the CO2 laser (5-7 W). Patient sex and age were documented, along with location of the lesionas well as size, symptoms, duration, etiological factors, type of treatment, complications and recurrences aftersurgical removal.Results: The sample comprised 40 males and 28 females, aged between 6-65 years. The histological diagnosis wasextravasation mucocele in 95% of the cases. The most frequent location was the lower lip (73.5%). The meanlesion diameter was 9 mm , and in most cases no evident etiological factor was recorded. The mean duration ofthe lesion was 4 months. Among the cases of conventional surgical removal of mucocele, recurrence was recordedin 8.8% of the cases, and 13.2% of the patients suffered postoperative complications - the most frequent being thepresence of fibrous scars. There were no complications or relapses after a minimum follow-up of 12 months in thecases subjected to CO2 laser treatment.Conclusions: Oral mucocele ablation with the CO2 laser offers more predictable results and fewer complicationsand recurrences than conventional resection with the scalpel (AU)

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Multiple supernumerary teeth not associated with complex syndromes: A retrospective study

Objectives: To determine the epidemiology and describe the clinical and radiographic characteristics, the type of treatment, and the possible delayed appearance of new supernumerary teeth in patients with non-syndromic multiple hyperdontia.
Patients and Methods: We conducted a small retrospective observational study of 8 patients diagnosed with non- syndromic multiple hyperdontia. Multiple hyperdontia not associated to complex syndromes was defined as apparently generally healthy patients with one or more supernumerary teeth in two or more areas. Results: The average patient age was 16.23 years; males predominated (3:1). Multiple hyperodontia with a mini- mum of 2 and a maximum of 9 supernumerary teeth was found (total: 34 mean: 4.25). The most frequent location was the upper jaw (76.47%). Eumorphic teeth were seen at lower premolar level, while the rest were all heteromorphic. There was altered eruption of the contiguous teeth of 4 of the impacted supernumerary teeth all the rest being asymptomatic. Extraction was the treatment in all patients, and in one of them the delayed appearance of 4 supernumerary teeth was detected. Conclusions: Multiple hyperodontia rarely occurs without being associated with complex syndromes. Prophylactic surgical removal of the supernumerary teeth is generally the treatment of choice (AU)

Treatment of oral mucocele-scalpel versus CO2 laser.

OBJECTIVE: To compare the results obtained after oral mucocele resection with the scalpel versus the CO2 laser, based on the complications and recurrences after surgery. PATIENTS AND METHODS: Of the 68 patients we studied who have mucocele, 38 were resected with a scalpel and the remaining 30 with the CO2 laser (5-7 W). Patient sex and age were documented, along with location of the lesion as well as size, symptoms, duration, etiological factors, type of treatment, complications and recurrences after surgical removal. RESULTS: The sample comprised 40 males and 28 females, aged between 6-65 years. The histological diagnosis was extravasation mucocele in 95% of the cases. The most frequent location was the lower lip (73.5%). The mean lesion diameter was 9 mm, and in most cases no evident etiological factor was recorded. The mean duration of the lesion was 4 months. Among the cases of conventional surgical removal of mucocele, recurrence was recorded in 8.8% of the cases, and 13.2% of the patients suffered postoperative complications--the most frequent being the presence of fibrous scars. There were no complications or relapses after a minimum follow-up of 12 months in the cases subjected to CO2 laser treatment. CONCLUSIONS: Oral mucocele ablation with the CO2 laser offers more predictable results and fewer complications and recurrences than conventional resection with the scalpel.

Multiple supernumerary teeth not associated with complex syndromes: a retrospective study.

OBJECTIVES: To determine the epidemiology and describe the clinical and radiographic characteristics, the type of treatment, and the possible delayed appearance of new supernumerary teeth in patients with non-syndromic multiple hyperdontia. PATIENTS AND METHODS: We conducted a small retrospective observational study of 8 patients diagnosed with non-syndromic multiple hyperodontia. Multiple hyperdontia not associated to complex syndromes was defined as apparently generally healthy patients with one or more supernumerary teeth in two or more areas. RESULTS: The average patient age was 16.23 years; males predominated (3:1). Multiple hyperodontia with a minimum of 2 and a maximum of 9 supernumerary teeth was found (total: 34 mean: 4.25). The most frequent location was the upper jaw (76.47%). Eumorphic teeth were seen at lower premolar level, while the rest were all heteromorphic. There was altered eruption of the contiguous teeth of 4 of the impacted supernumerary teeth all the rest being asymptomatic. Extraction was the treatment in all patients, and in one of them the delayed appearance of 4 supernumerary teeth was detected. CONCLUSIONS: Multiple hyperodontia rarely occurs without being associated with complex syndromes. Prophylactic surgical removal of the supernumerary teeth is generally the treatment of choice.