Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
-
J. Oral Maxillofac. Surg. · Dec 2007
Randomized Controlled TrialEpinephrine concentration (1:100,000 or 1:200,000) does not affect the clinical efficacy of 4% articaine for lower third molar removal: a double-blind, randomized, crossover study.
This study compared the use of 4% articaine in association with 1:100,000 (10 mug/mL; A100) or 1:200,000 (5 mug/mL; A200) epinephrine in lower third molar removal. ⋯ An epinephrine concentration of 1:100,000 or 1:200,000 in 4% articaine solution does not affect the clinical efficacy of this local anesthetic. It is possible to successfully use the 4% articaine formulation with a lower concentration of epinephrine (1:200,000 or 5 mug/mL) for lower third molar extraction with or without bone removal.
-
J. Oral Maxillofac. Surg. · Dec 2007
Randomized Controlled Trial Comparative StudyPreoperative diclofenac sodium and tramadol for pain relief after bimaxillary osteotomy.
The aim of this study was to compare the postoperative analgesic affects of preoperative use of a synthetic opioid tramadol and a nonsteroidal anti-inflammatory drug diclofenac sodium for postoperative pain, with placebo, in patients undergoing bimaxillary osteotomy. ⋯ Preoperative diclofenac or tramadol, compared with placebo, effectively decreases postoperative opioid consumption via intravenous patient-controlled analgesia.
-
J. Oral Maxillofac. Surg. · Dec 2007
Evaluation of pain perception in patients with temporomandibular disorders.
The aim of this study was to assess the pain perception of patients with temporomandibular disorders and to investigate a possible association between pain sensitivity and temporomandibular disorders. ⋯ According to the results of this study temporomandibular disorder patients were significantly different in terms of general pain perception. Systemic pain regulation mechanisms might be involved in temporomandibular disorder development. Some symptoms of temporomandibular disorder patients such as movement limitation and subjective pain expression might be originated from pain perception discrepancies besides severity of disease.
-
J. Oral Maxillofac. Surg. · Nov 2007
Simultaneous intranasal procedures to improve chronic obstructive nasal breathing in patients undergoing maxillary (le fort I) osteotomy.
The aim of this study was to evaluate the safety and efficacy of septoplasty and inferior turbinate reduction, carried out through a Le Fort I osteotomy as part of the correction of a dentofacial deformity, designed to improve nasal breathing in patients who reported pre-existing nasal airway obstruction and had documented septal deviation and inferior turbinate hypertrophy. ⋯ The findings of this study indicate that simultaneous management of the maxillary jaw deformity (Le Fort I osteotomy) and intranasal pathology (septoplasty and reduction of inferior turbinates) were effective for the symptomatic relief of nasal airway obstruction. The complication rate for the intranasal procedures completed simultaneously with a Le Fort I osteotomy was minimal and not dissimilar to the rates reported for each procedure performed as an isolated event.