Assuntos
Irrigantes do Canal Radicular/uso terapêutico , Tratamento do Canal Radicular/métodos , Clorexidina/uso terapêutico , Ácido Cítrico/uso terapêutico , Doenças da Polpa Dentária/terapia , Ácido Edético/uso terapêutico , Humanos , Doenças Periapicais/terapia , Irrigantes do Canal Radicular/classificação , Hipoclorito de Sódio/uso terapêuticoRESUMO
Actinomycosis is considered to be a rare disease in the oral region. A retrospective study of files of the University of Nebraska Medical Center College of Dentistry, Department of Pathology, revealed 30 cases in which Actinomyces species were detected from the years 1982 to 2001 (28,490 specimens). Biopsy submission forms and patient records were reviewed in each of these cases with particular attention to clinical impression, subsequent treatment, and case outcome. Classic treatment for actinomycosis involves the excision of the affected area as well as long-term antibiotics. Our study indicates that antibiotics may not be necessary in treatment of the localized dental presentation of actinomycosis.
Assuntos
Actinomicose/epidemiologia , Doenças Mandibulares/microbiologia , Doenças Maxilares/microbiologia , Doenças Periapicais/microbiologia , Actinomyces/classificação , Actinomyces/isolamento & purificação , Actinomicose/tratamento farmacológico , Actinomicose/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Biópsia , Curetagem , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Masculino , Doenças Mandibulares/tratamento farmacológico , Doenças Mandibulares/epidemiologia , Doenças Maxilares/tratamento farmacológico , Doenças Maxilares/epidemiologia , Pessoa de Meia-Idade , Nebraska/epidemiologia , Doenças Periapicais/tratamento farmacológico , Doenças Periapicais/epidemiologia , Estudos Retrospectivos , Resultado do Tratamento , CicatrizaçãoRESUMO
The purpose of this study was to determine the effect of one dose of a common narcotic-based pain reliever (Vicodin) on a battery of oral sensitivity tests across time in women. Fifteen Caucasian women randomly were given an oral dose of 10 mg of hydrocodone/1000 mg of acetaminophen or placebo in a double-blind, cross-over design. At baseline (before drug) and after 2, 4, and 8 h each subject was evaluated for sensitivity thresholds with four tests around an experimental tooth: (a) electric pulp tester applied to exposed root; (b) electric pulp tester on adjacent mucosa; (c) increasing probe pressure (grams) on adjacent mucosa; and (d) decreasing cold probe (degrees C) on the exposed root. The outcomes of all tests were not statistically different between drug and placebo treatments at any time point (p > 0.05). These results suggest that a systemic dose of hydrocodone/acetaminophen has little impact on healthy pulp or mucosa sensitivity in women as measured by common diagnostic tests.
