Australian dental journal
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Australian dental journal · Oct 1992
Complications associated with maxillary nerve block anaesthesia via the greater palatine canal.
This paper documents the type, frequency and duration of complications associated with regional anaesthesia of the maxillary nerve via the greater palatine canal in a series of 101 patients treated in the Oral Surgery Department, United Dental Hospital of Sydney.
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An elderly man was assaulted and sustained facial injuries with fractures of the mandible and left zygoma. An unusual complication of aspiration of an intact four-unit metal bridge is reported. ⋯ The technique is described. The importance of careful clinical and radiographic examination is stressed.
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Australian dental journal · Feb 1991
Case ReportsMaxillary nerve block anaesthesia via the greater palatine canal: a modified technique and case reports.
A modification of the technique of maxillary nerve block (via the greater palatine canal) is discussed. This technique has been employed in the Exodontia and Oral Surgery Clinics of the United Dental Hospital of Sydney for more than 40 years. Clinical experience in that time has shown that once the greater palatine canal has been negotiated successfully, the palatal canal approach to the maxillary nerve is safe and reliable. The value of being able to anaesthetize the maxillary nerve and its branches is illustrated by the presentation of two clinical cases where local anaesthesia was achieved and the extractions performed in patients who would otherwise have required a general anaesthetic for the procedures.
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Cervicofacial emphysema is an infrequently reported sequela to dental surgery. Most cases result from the accidental introduction of air into the soft tissues during the use of air-driven, high-speed handpieces or air/water syringes. Surgical procedures, in particular removal of lower third molars, predispose to the development of an emphysema. ⋯ Reassurance of the patient, antibiotic prophylaxis and analgesics, if required, are generally sufficient. This paper reviews the above features and discusses means of prevention. Early recognition and appropriate management are emphasized.
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Australian dental journal · Apr 1977
Surgical diseases of the mandible. The principles of diagnosis and treatment.
Several unusual abnormalities are presented in this abstract of a lecture on surgical diseases of the mandible. The importance of physical signs in clinical dental surgery is emphasized. A protocol of treatment of mandibular condylar hyperplasia and masseteric hypertrophy is suggested.