RESUMO
Chronic suppurative osteomyelitis of the mandible is often considered difficult to treat and may lead to refractory osteomyelitis. Sixteen patients with chronic suppurative osteomyelitis of the mandible were treated with a relatively simple protocol, consisting of sequestrectomy or decortication and i.v. antimicrobial therapy for one week, followed by oral penicillin for three weeks. Only one case showed recurrence of symptoms, which was treated successfully in a second session. It is concluded that combined surgical and antimicrobial therapy should be sufficient to cure most cases of chronic suppurative osteomyelitis of the mandible.
Assuntos
Doenças Mandibulares/cirurgia , Osteomielite/cirurgia , Penicilinas/uso terapêutico , Administração Oral , Adulto , Idoso , Criança , Doença Crônica , Protocolos Clínicos , Terapia Combinada , Curetagem , Feminino , Seguimentos , Fraturas Espontâneas/cirurgia , Humanos , Injeções Intravenosas , Masculino , Mandíbula/cirurgia , Doenças Mandibulares/tratamento farmacológico , Doenças Mandibulares/etiologia , Fraturas Mandibulares/cirurgia , Pessoa de Meia-Idade , Osteomielite/tratamento farmacológico , Osteomielite/etiologia , Penicilina G/administração & dosagem , Penicilina G/uso terapêutico , Penicilinas/administração & dosagem , Recidiva , SupuraçãoRESUMO
In recent years hyperbaric oxygen has gained an important role in the treatment of osteoradionecrosis of the mandible. In the treatment of 29 patients with osteoradionecrosis of the mandible, a combination of surgical debridement, antibiotics, and hyperbaric oxygen was used in 27 cases. In 20 of the 29 patients the osteoradionecrosis was considered to be resolved after treatment. In 31% of the patients, the continuity of the mandible was lost. It was concluded that combined treatment of surgical debridement, antibiotics, and hyperbaric oxygen gives acceptable results and may, when used in an early phase of the disease, limit the number of patients who lose continuity of the mandible.
Assuntos
Oxigenoterapia Hiperbárica , Doenças Mandibulares/terapia , Osteorradionecrose/terapia , Adulto , Idoso , Carcinoma de Células Escamosas/radioterapia , Terapia Combinada , Feminino , Humanos , Masculino , Doenças Mandibulares/tratamento farmacológico , Doenças Mandibulares/cirurgia , Pessoa de Meia-Idade , Neoplasias Bucais/radioterapia , Osteorradionecrose/tratamento farmacológico , Osteorradionecrose/cirurgia , Estudos Retrospectivos , Neoplasias das Glândulas Salivares/radioterapia , Neoplasias da Glândula Tireoide/radioterapia , Resultado do TratamentoRESUMO
In this study the validity of a patient-administered risk-related medical questionnaire for dental patients was tested. The answers given on the questionnaire were compared with the results of a verbal history taken by a physician. This verbal history was considered the "gold standard." The sensitivity and specificity of the medical questionnaire appeared to be sufficiently high, and the kappa values of the separate questions were satisfactory. The questionnaire was found to be valid in the registration of medical problems in dental patients, but combination of the two methods is recommended.
Assuntos
Registros Odontológicos , Anamnese/métodos , Adulto , Feminino , Humanos , Entrevistas como Assunto , Masculino , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
Cardiovascular complications caused by hypertension need to be anticipated during routine dental therapy. Changes in the cardiovascular system before, during, and after treatment were studied for 40 patients undergoing extractions.
