RESUMO
PURPOSE: Despite greatly improved dental health in industrialized countries, severe odontogenic infections still occasionally lead to hospitalization. The aim of the present study was to determine whether what symptoms, signs, or laboratory parameters on hospital admission were associated with the need for treatment in the intensive care unit (ICU). PATIENTS AND METHODS: Over an 18-month period, 100 consecutive patients (59 male, 41 female) were included in the study. Twenty percent of the patients required ICU treatment because of cardiorespiratory problems or severe complications of their infection. Both ICU and non-ICU patients were examined clinically and blood samples were taken and studied in respect to several parameters associated with infection, including C-reactive protein (CRP) levels. The findings were analyzed statistically for differences between the groups. RESULTS: No particular anamnestic background variable was associated with the need for intensive care. However, a particularly high CRP level on admission was found to be associated with a more severe course of the infection. CONCLUSIONS: This study showed that determination of CRP levels may be useful in clinical decision-making in patients with severe odontogenic infections.
Assuntos
Cuidados Críticos , Infecção Focal Dentária/fisiopatologia , Adulto , Análise de Variância , Sedimentação Sanguínea , Proteína C-Reativa/análise , Distribuição de Qui-Quadrado , Feminino , Fibrinogênio/análise , Infecção Focal Dentária/sangue , Infecção Focal Dentária/complicações , Cardiopatias/fisiopatologia , Hospitalização , Humanos , Contagem de Leucócitos , Pneumopatias/fisiopatologia , Masculino , Admissão do Paciente , Fatores de Risco , Estatística como Assunto , Infecções Estreptocócicas/fisiopatologiaRESUMO
Four mandibular screw-plate locking systems were studied in sheep. Three to four centimetres angular continuity resections of the mandible were performed and the defects bridged with pre-bent angular reconstruction plates fixed with four screws in the body part and three in the ramus. Each type was used four times. Clinical and radiological examinations were carried out 1 and 2 months later. All sheep were able to eat and ruminate normally throughout the postoperative period. Radiology revealed that 6/16 plates and 5/112 screws fractured during the follow-up period. In one type, no fracture occurred. Screw fracture was confined to just one reconstruction system. Six of 16 mandibles showed slight to moderate bone resorption under the plate. The results point to the internal shortcomings of the systems tested.
