Quintessence international
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A case of unusual foreign body impaction of 6 years' duration is reported. The foreign body was retained in the right infraorbital region, extending to the ethmoid sinus. The importance of careful history taking and clinical examination and the problems encountered in evaluation of relatively radiolucent foreign bodies with magnetic resonance imaging are discussed.
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Comparative Study
Use of tranexamic acid mouthwash to prevent postoperative bleeding in oral surgery patients on oral anticoagulant medication.
The clinical hemostatic effect of tranexamic acid mouthwash after oral surgery was evaluated in 47 patients receiving oral anticoagulant therapy. Surgery was performed after the anticoagulant medication was reduced in 15 patients (control group) and with no change in anticoagulant therapy in 32 patients (test group). ⋯ There was no significant difference between the two treatment groups in the incidence of bleeding after oral surgery. The results indicated that a combination of local antifibrinolytic therapy and a local hemostatic agent is effective in preventing postoperative bleeding after oral surgery in patients treated with anticoagulants.
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Case Reports
Subcutaneous, orbital, and mediastinal emphysema secondary to the use of an air-abrasive device.
Subcutaneous emphysema can occur whenever compressed air is employed intraorally. A case is presented of subcutaneous, orbital, and mediastinal emphysema subsequent to the use of an air-abrasive device. The case is believed to be the first reported case of an air-abrasive-related emphysema and is presented as a cautionary report.
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A method of placing a reinforced resin-bonded sealant is described. When the beneficial properties of resin-bonded sealants are combined with those of preventive resin restorations, the outcome is perhaps the "quintessential sealant."