The British journal of oral & maxillofacial surgery
-
Br J Oral Maxillofac Surg · Oct 1997
Blocks of the foramen rotundum and the oval foramen: a reappraisal of extraoral maxillary and mandibular nerve injections.
To present our experience of regional anaesthesia with blocks of the foramen rotundum and the oval foramen. ⋯ Blocks of the foramen rotundum and the oval foramen achieve good regional anaesthesia in the maxillofacial region.
-
Br J Oral Maxillofac Surg · Jun 1997
Oral pyogenic granuloma: a review of 38 cases from Ibadan, Nigeria.
Thirty-eight cases of patients with histologically confirmed pyogenic granuloma of the oral cavity were treated at the University College Hospital Dental Centre during the period 1982-1993. The age of the patients at presentation ranged from 5 to 74 years (mean 33) and the male:female ratio was 1:1.2. ⋯ The clinical presentation was generally similar to that in other studies except that most of the lesions were large. All 38 cases were treated by excision and there were no recurrences among those with adequate follow-up.
-
Br J Oral Maxillofac Surg · Jun 1997
Randomized Controlled Trial Clinical TrialAre the pharmacokinetics of ibuprofen important determinants for the drug's efficacy in postoperative pain after third molar surgery?
The aim of the present placebo-controlled, crossover study was to evaluate the efficacy and pharmacokinetics of ibuprofen after a single oral dose of soluble ibuprofen 400 mg in 18 patients with postoperative pain after bilateral third molar surgery. Throughout a 5-hour investigation period, patients reported significantly less pain (P < 0.001) after treatment with soluble ibuprofen than after placebo. ⋯ It is concluded that a single dose of soluble ibuprofen 400 mg is an effective analgesic for the control of postoperative pain in the early period after third molar surgery. Efficacy of this preparation does not appear to be directly related to the drug's pharmacokinetic variables in plasma.
-
Br J Oral Maxillofac Surg · Feb 1997
Randomized Controlled Trial Clinical TrialThe effect of tramadol on dento-alveolar surgical pain.
The aim of the study was to assess the analgesic effect of tramadol in the relief of pain after dentoalveolar operations that involve the removal of bone and suturing. Four-hundred and fifty-two patients over the age of 18 years who were to undergo removal of impacted teeth (n = 362), removal of root (n = 79), or alveolectomy, enucleation of cysts, or removal of soft tissue (n = 11) under local anesthesia were studied. Patients were randomly allocated to receive tramadol 100 mg or 50 mg four times daily, or 50 mg twice daily, or placebo. ⋯ The advantages of tramadol continued over the next 2 days. There were no serious or unexpected adverse effects. It is concluded that tramadol is an effective analgesic after dentoalveolar operations.
-
Two cases are reported in which retained wooden foreign bodies in the facial tissues posed considerable diagnostic difficulty and were the source of persistent and distressing symptoms. In both patients the embedded foreign material defied radiological identification and in case 1 the time between injury and final removal of the foreign body was 9 years. The cases are described to highlight the problems in managing penetrating injuries when there is the possibility that radiolucent material is implanted in the wound.