British dental journal
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British dental journal · Jul 2009
Randomized Controlled Trial Comparative StudyThe effect of transmucosal 0.2 mg/kg midazolam premedication on dental anxiety, anaesthetic induction and psychological morbidity in children undergoing general anaesthesia for tooth extraction.
The project aims were to evaluate the benefit of transmucosal midazolam 0.2 mg/kg pre-medication on anxiety, induction behaviour and psychological morbidity in children undergoing general anaesthesia (GA) extractions. ⋯ 0.2 mg/kg buccal midazolam provided some evidence for reducing anxiety in the most dentally anxious patients. However, induction behaviour, psychological morbidity and subsequent dental attendance were not found to alter.
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On 12 May 2008, an earthquake with a magnitude of 8.0 on the Richter scale hit Wenchuan, China. In the aftermath of this natural disaster, Chinese dental professionals actively participated in the first emergency medical response team, definitive dental treatment, oral health services and education, and the recovery of local oral care infrastructure and resources. Learning from the experience and first-hand data of the Wenchuan earthquake, dental professionals can increase their awareness of the importance of collaborative emergency response health services in mass casualty events. Further research and emphasis is needed to encourage the participation of dental professionals in disaster preparation training and practice.
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Wound infections after tooth extraction may occur in up to 5%. A systemic infection is a rare but threatening complication often caused by an underlying immune deficiency (immunosuppression, diabetes, HIV) which requires prompt adequate care. This case report describes bacterial meningitis as a possible systemic complication two days after the extraction of a molar in a patient with previously undiagnosed latent diabetes mellitus.