"EXODONCIA CONTEMPORANEA" APUNTES

Historia de cirugía bucal - Normas de bioseguridad en odontología - Examenes complementarios en cirugía bucal - Nervio trigémino - Anestésicos locales en odontología - Instrumental quirúrgico en cirugía bucal - Indicaciones y contraindicaciones de las exodoncias - técnicas de exodoncia simple - Exodoncia de cada pieza en particular - Accidentes y complicaciones de las exodoncias

How I do it: a technique for oral wound irrigation following maxillectomy and mandibulectomy.

BACKGROUND: Numerous devices have been recommended for ensuring appropriate hygiene and care of wounds resulting from maxillectomy and mandibulectomy. This article describes an irrigation device for use in the oral cavity after these procedures. METHODS: The system consists of: a prepackaged, disposable, 50-cc piston syringe; a nonconductive connecting tube; and, a saliva ejector that can be assembled for oral irrigation. RESULTS: The modified piston syringe allows physicians, nurses, and patients to efficiently irrigate mucosal wounds, maxillary or mandibular defects, and oropharyngeal or oral and pharyngeal wounds. CONCLUSION: This system is efficacious, more adaptable, and less expensive than other self-irrigating gravimetic instruments and is thus recommended for use in patients who have undergone maxillectomy or other ablative procedures in the oral cavity.

[A study on the relationship between the actual situation of nursing activities, in the outpatient section of oral surgery, and medical fees].

In our outpatient oral surgery section, nurses have performed such nursing activities as guidance and consultation for outpatients. The present survey was conducted to clarify the actual situation of nursing activities, and that of claims for medical fees during fiscal year 2000, the year the claim for medical fees was started. At that time, the problems involved were examined to further improve nursing activities for outpatients. The nurses gave guidance on alimentation, oral hygiene, and breast feeding, from the nurse's record which were classified and totalled according to each disease, guidance item, and time required (less than 30 minutes or more than 30 minutes). The total numbers of patients were 172 persons and 357 cases. Major guidance items were alimentary guidance (179 cases), oral hygiene guidance (105 cases), and breast feeding guidance (73 cases). The items claimed for medical fees were two: "Athrocytosis function therapeutics" (9 cases) and "the guidance fee for the treatment of specific dental disease" (32 cases). The problems that discouraged claiming a fee for performed chargeable nursing activities are listed as 1. there are no exclusive guidance rooms, 2. insufficiency in securing staff, 3. the instructions and the requests by dentists have not been made exactly and smoothly. Thus, the problems to be considered hereafter would be 1. review and improvement in the guidance environment to an appropriate level, 2. make regulations for securing necessary staff, 3. construction of a system for exact and smooth instruction and requests, and 4. promotion to enrich the content of guidance and to make the results public.

Dental surgery in pediatric patients with spina bifida and latex allergy.

Dental rehabilitation is a common outpatient pediatric surgical procedure. It requires the dentist to restore or extract the teeth of children with severe tooth decay or poor dental hygiene. Medical, physical, or emotional problems can make safe treatment in an outpatient setting impossible. These children require sedation or anesthesia for the dentist to gain access to their oral cavities. This article discusses caring for pediatric patients with spina bifida and latex allergy undergoing dental rehabilitation. Perioperative nurses must act as patient advocates in providing a latex-safe environment and also ensure quality care.

ALCALIZACION DE LA XILOCAINA PARA EXODONCIAS

La necesidad de una solución anestésica local sin vasoconstrictor, con un reducido tiempo de latencia y una mayor potencia, puede ser satisfecha con una solución como la que se propone en el presente en el presente estudio. Dicha solución alcalinizada haria posible el uso en odontología, en pacientes con alguna patología cardiaca, principalmente con arritmias o hipertensión arterial, en pacientes diabéticos, en pacientes con tirotoxicosis y en embarazadas. Por otro lado, tomando en cuenta que utilizaremos una solución anéstésica de xilocaina sin vasoconstrictor, por parte evitamos las contraindicaciones de este último y al añadir el álcali aumentaremos la potencia del anestésico y disminuiremos el tiempo de lactancia, obteniendo de esta manera una solución sin sin vasoconstrictor pero de mayor potencia que los tradicionales utilizados, es decir, mejoramiento el "índice anestésico"

Airway adventures in Africa.

Difficult airway management may challenge any anesthesia provider. A clear and protected airway must be maintained even in difficult intubations. In challenging cases, careful preoperative assessment and good communication with colleagues are required.

Dental surgery standards for perioperative nurses. Medical Center of Central Georgia.

Practice standards for dental surgery are necessary to maintain quality care for dental patients. Specific standards or recommended practices for dental surgery have not been addressed by AORN, and none are available from the American Dental Association or the Georgia Dental Association. We incorporated the Centers for Disease Control and Prevention guidelines, and Occupational Safety and Health Administration regulations had to be incorporated into existing perioperative standards to institute dental surgery standards for our facility. The standards for dental surgery at the Medical Center of Central Georgia, Macon, evolved with the leadership of perioperative nurses.

A patient education guide for wired jaws.

Patients with wired jaws will be required to face a whole new lifestyle for up to 6 weeks following maxillofacial surgery. Changes in their lifestyles include relearning ways to care for their bodies, to eat their meals, and to communicate with family and health care professionals. Proper presurgical patient education is essential in order for these patients to gain confidence regarding self-care and for wounds to heal properly.

VALOR COMPARATIVO DE CINCO SUBSTANCIAS HEMOSTATICAS APLICADAS LOCALMENTE EN CIRUGIA BUCAL

El tiempo que necesita el coaguleno para detener hemorragias óseas alveolares y en aplicación tópica es variable, oscilando entre 1.30 y 6 minuto, teniendocomo termino medio un tiempo de 3.1 minuto - El spongostan en los mismos casos anteriores, obtiene hemostasiaen un tiempo de 1 y 1.30 minutos, teniendo como promedio un tiempo de 1.1 minutos - Controlando el tiempo que emplea el novocell para detener hemorragías alveolares, se vío que fluctuaba entre 1,30 y 2 minutos promediando el ultimo en 1,6 minutos - El ácido acetil salicílico también en aplicación tópica detiene las hemorragias provenientes del fondo del alvéolo en un tiempo comprendido entre 1 y 2,30 minutoscon un promedio de 1,7 minutos