Australian dental journal
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Australian dental journal · Aug 1996
ReviewAnatomical considerations in the diagnosis and management of acute maxillofacial bacterial infections.
General dentists are frequently called upon to manage maxillofacial infections. Such infections are usually well localized in their initial stages but can spread to become severe and potentially life-threatening. This paper discusses the anatomical basis of the spread of these infections and techniques relevant to the rational management of these serious conditions.
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Australian dental journal · Aug 1996
Biography Historical ArticleThe life of Henry Jeanneret (1802-1886). Pioneer Australian dentist. With an account of his colonial service and scientific contributions in Australia.
Henry Jeanneret was a pioneer Australian dentist, perhaps the first in this country to promote the discipline of dentistry as distinct from medicine and general surgery. This profile describes his early life and training, his emigration to Australia, his clinical practice in Sydney and in Van Diemen's Land, and his contributions to natural history, particularly in the field of botany.
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A regional review of oral health in the Pacific showed the major problems to be dental caries, periodontal diseases, poor dental health service management and lack of appropriate dental personnel. A strategy for training appropriate dentists to manage oral health services in the Pacific was suggested. ⋯ The training programme for dentists must be career-ladder, problem-based, and community-oriented with competency-based learning of a spiral of tasks with increasing sophistication. The curriculum content must contain about 50 percent on public health and clinical aspects, respectively.
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Swallowing and aspiration of dental foreign objects is often reported in the literature. Swallowing seems to be more common than aspiration, and is observed most often in the elderly. ⋯ A 67-year-old man swallowed a unilateral removable partial denture which became lodged in his mid-oesophagus. The denture was located by radiographic examination of his chest and removal by a rigid oesophagoscopy was performed under general anaesthetic.
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The ideal airway requirements for oral surgery are the provision of a stable, unobstructed airway, protection of the lungs from aspiration, minimal interference with the surgical field and a low complication rate. Neither the nasal mask nor endotracheal tube meet these requirements. The laryngeal mask airway (LMA), provides a third type of airway for consideration in oral surgery that offers some of the benefits of intubation and avoids many of the associated hazards. ⋯ Scavenging of waste gases is possible, and it is well tolerated during recovery. A modification, specifically designed for head, neck and dental anaesthesia, has recently become available. The purpose of this article is to provide a brief overview of the LMA with special emphasis on its use in oral surgery.