RESUMO
Endothelial damage to heart valves, similar to that seen with rheumatic heart disease, occurs in 50% of all patients with systemic lupus erythematosus. Bacterial endocarditis is a consequence in 1% to 4% of these patients. This rate is greater than the incidence of endocarditis after rheumatic heart disease and compares favorably with the incidence of endocarditis in patients with prosthetic heart valves. At present, it is not possible to accurately delineate the subpopulation of patients with SLE that is at risk for this disease; hence, it is recommended that antibiotic prophylaxis (standard regimen suggested by the American Heart Association) be considered for all patients with systemic lupus erythematosus undergoing dental procedures associated with transient bacteremias.
Assuntos
Antibacterianos/uso terapêutico , Assistência Odontológica para a Pessoa com Deficiência , Endocardite Bacteriana/prevenção & controle , Lúpus Eritematoso Sistêmico/complicações , Humanos , Pré-Medicação , RiscoRESUMO
Although involvement of the jaws by Ewing's sarcoma is uncommon, when it occurs the clinical and radiographic presentation may mimic an inflammatory process, specifically pericoronitis. A case that illustrates this dilemma is presented.
Assuntos
Neoplasias Gengivais/secundário , Sarcoma de Ewing/secundário , Adulto , Neoplasias Ósseas/patologia , Diagnóstico Diferencial , Feminino , Neoplasias Gengivais/patologia , Humanos , Pericoronite/patologia , Sarcoma de Ewing/patologiaRESUMO
Twenty-one patients who underwent bilateral sagittal split osteotomies using rigid fixation were evaluated by neurosensory testing. Neurosensory tests included light touch (LT), brush stroke direction (BSD), two-point discrimination (2-P), and temperature (T). Tests were conducted using the two-alternate forced choice method. The density of neurosensory disturbance was examined as well as the incidence of neurosensory disturbance as it correlated with age of the patient. The incidence of neurosensory disturbance was 45.2% (19/42) to LT, 52.4% (22/42) to BSD, 33.3% (14/42) to 2-P and 7.1% (3/42) to T. The majority of demonstrable neurosensory disturbances were not dense. Increased age was associated with an increased incidence of neurosensory disturbance.
Assuntos
Mandíbula/cirurgia , Nervo Mandibular , Osteotomia/efeitos adversos , Sensação , Adolescente , Adulto , Temperatura Baixa , Doenças dos Nervos Cranianos/etiologia , Doenças dos Nervos Cranianos/fisiopatologia , Limiar Diferencial , Feminino , Humanos , Masculino , Nervo Mandibular/fisiopatologia , Osteotomia/métodos , TatoAssuntos
Terapia de Imunossupressão , Estomatite Herpética/diagnóstico , Adenocarcinoma/tratamento farmacológico , Neoplasias do Colo/tratamento farmacológico , Feminino , Humanos , Terapia de Imunossupressão/efeitos adversos , Imunossupressores/efeitos adversos , Masculino , Melanoma/tratamento farmacológico , Pessoa de Meia-Idade , Mieloma Múltiplo/tratamento farmacológico , Estomatite Herpética/etiologiaRESUMO
Twenty adult patients with maxillofacial discrepancies most amenable to correction by Le Fort I osteotomy were evaluated for the incidence of postoperative maxillary sinusitis. Before surgery, each patient was evaluated both radiographically, by Waters' projection technique, and subjectively, according to a brief questionnaire pertaining to sinus symptoms. Identical evaluations were carried out at three- and six-month intervals following surgery. The results show no increase in the incidence of maxillary sinusitis following Le Fort I osteotomy.
