RESUMO
Total glossectomy can result in significant functional impairments in mastication, swallowing, and speech. In addition to these functional problems, severe psychological problems may follow complete loss of the tongue. Placement of a mandibular tongue prosthesis obturates this large defect, increases the patient's ability to produce intelligible sounds, and assists with a return to a normal diet. Prosthetic rehabilitation can also improve the user's appearance and psychosocial adjustment. This clinical report describes a magnetically attached two-piece tongue prosthesis used to treat a patient who underwent total glossectomy.
Assuntos
Glossectomia/reabilitação , Próteses e Implantes , Desenho de Prótese , Língua , Resinas Acrílicas/química , Materiais Biocompatíveis/química , Carcinoma de Células Escamosas/cirurgia , Ligas de Cromo/química , Feminino , Seguimentos , Humanos , Imãs , Pessoa de Meia-Idade , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Silicones/química , Neoplasias da Língua/cirurgiaRESUMO
BACKGROUND: Periodontitis is a major problem that affects a large number of patients in the society. Various treatment alternatives have been proposed to control this pathologic condition. Streptococcus sanguis is one of the countless pathogens involved in periodontitis. OBJECTIVES: The current study aimed to assess the efficacy of pineapple extract per se and in synergy with vancomycin on the growth activity of S. Sanguis. MATERIALS AND METHODS: An experimental study was designed to determine the minimum inhibitory concentration (MIC) of Pineapple extract per se and in conjunction with vancomycin. The study was carried out in three stages. Serial concentrations of the aqueous pineapple extract, vancomycin, and pineapple plus vancomycin were prepared by broth microdilution technique respectively and were exposed to the standard laboratory strain of S. sanguis (10556 ATCC). The lowest concentration of the pineapple extract and the mixed pineapple/vancomycin solution which inhibited bacterial growth was recorded as the MIC. RESULTS: The minimum inhibitory concentration of vancomycin was determined 1 µg/ ml. The pineapple extract failed to show any inhibitory effects per se, however, once added to vancomycin, it reduced the MIC to 0.5µg/ml. CONCLUSION: Prescription of pineapple extract along with antibiotics increases the antibacterial effects of the drug, therefore reduces the minimum inhibitory concentration of the antibiotic.
