Oral surgery, oral medicine, oral pathology and oral radiology
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Oral Surg Oral Med Oral Pathol Oral Radiol · Jun 2012
Case ReportsA bilateral cervical swelling and it is not a malignancy.
This case report is about a patient with 2 synchronous bilateral cervical schwannomas. ⋯ Commonly, a bilateral cervical swelling is not caused by 2 schwannomas. It is unusual for 2 schwannomas to appear in a patient synchronously without any evidence of neurofibromatosis or schwannomatosis. Differential diagnosis of a bilateral cervical swelling includes malignancy, carotid body tumor, and chronic infection.
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Oral Surg Oral Med Oral Pathol Oral Radiol · May 2012
ReviewNew oral anticoagulants: will they replace warfarin?
Vitamin K antagonists, such as warfarin, are considered to be the treatment of choice to prevent thromboembolic events, but problems, such as the need for frequent dose adjustment and monitoring of coagulation status, as well as multiple drug and food interactions, make their use difficult for both physician and patient. Two new anticoagulants are now being considered as possible replacements of vitamin K antagonists. ⋯ The advantages of these drugs are that they are safe and effective, require no monitoring, have a direct mode of action against only one clotting factor (thrombin or factor Xa), have limited drug interactions, and have rapid peak blood levels. Based on the fact that dabigatran has already been approved for use in the USA, it would appear that it has an advantage over rivaroxaban in becoming the replacement drug for vitamin K antagonists.
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Oral Surg Oral Med Oral Pathol Oral Radiol · May 2012
Case ReportsInadvertent injection of formalin mistaken for local anesthetic agent: report of a case.
Chemical facial cellulitis, while commonly seen in domestic accidents or attempted suicide, is uncommon in the dental office and hence rarely addressed in the dental literature. We present an unusual case of chemical facial cellulitis caused by inadvertent injection of formalin into the soft tissues of the oral cavity, which was mistaken for local anesthesia solution. This report comprises the immediate symptoms, possible root cause, and management of the difficult situation. We also provide some guidelines to avoid such unfortunate events.
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Oral Surg Oral Med Oral Pathol Oral Radiol · Apr 2012
Beyond warfarin: the new generation of oral anticoagulants and their implications for the management of dental patients.
Warfarin has been the primary anticoagulant drug used in the USA for more than 50 years. However, 2 novel types of oral anticoagulants have recently been approved for use in the USA. ⋯ This article describes the pharmacologic properties and medical uses of these new oral anticoagulants. Also discussed are implications for the management of dental patients being treated with these new oral anticoagulants, including potential interactions with drugs commonly used or prescribed in the course of dental treatment.