Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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J. Oral Maxillofac. Surg. · Oct 2011
Comparative StudySafety of intravenous sedation administered by the operating oral surgeon: the second 7 years of office practice.
This follow-up study provides an additional 7 years of data (December 2001 through November 2008) pertaining to complications that occurred in patients who received intravenous sedation in the practice of a single board-certified oral and maxillofacial surgeon. Together with the previously published 7 years of data (December 1994 through November 2001), this study summarizes the frequency of various complications encountered in patients sedated intravenously by the surgeon over a 14-year period. ⋯ The results of this follow-up study confirm the previous findings. The administration of intravenous sedation by the operating surgeon for outpatient oral surgery is safe, with a low frequency of complications. Numerous patients were also made aware of previously undiagnosed medical problems, improving overall patient health.
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J. Oral Maxillofac. Surg. · Sep 2011
Randomized Controlled Trial Comparative StudyCan autologous platelet-rich plasma gel enhance healing after surgical extraction of mandibular third molars?
This investigation assesses the effect of platelet-rich plasma (PRP) gel on postoperative pain, swelling, and trismus as well as healing and bone regeneration potential on mandibular third molar extraction sockets. ⋯ The PRP group recorded reduced pain, swelling, and trismus as well as enhanced and faster bone healing compared with those in the control. Hence the study showed that topical application of PRP gel has a beneficial effect in enhancing socket healing after third molar surgery.
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J. Oral Maxillofac. Surg. · Sep 2011
Long-term outcome of trigeminal nerve injuries related to dental treatment.
There is little information available on the long-term effects on patients of permanent involvement of the inferior alveolar or lingual nerve because of dental treatment. This study has attempted to document this information from patients who were reviewed between 3 and 9 years after injury. ⋯ Although most patients continue to have long-term problems that affect the overall quality of life, for most patients there has been improvement in symptoms over time.
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Although rare, there are many circumstances in which a secure airway is needed urgently. A newly developed technique is presented for quick and efficient performance of this procedure. ⋯ Tracheotomy is an alternative to cricothyroidotomy as a surgical airway in patients with deteriorating respiratory status who cannot be safely intubated by nonsurgical means.
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J. Oral Maxillofac. Surg. · Aug 2011
Arthroscopic treatment for intra-articular adhesions of the temporomandibular joint.
To introduce arthroscopic surgery of intra-articulator adhesion of the temporomandibular joint (TMJ) upper compartment and evaluate its effect. ⋯ The effect of arthroscopic surgery on temporomandibular joint intra-articular adhesion was positive. It can increase the mouth's range of motion, improve jaw function, and reduce pain during jaw movement.