The New York state dental journal
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Case Reports
Transient diplopia as a result of block injections. Mandibular and posterior superior alveolar.
Anesthetic "accidents" can and do happen as a result of maxillary and/or mandibular injections. The family practitioner has little or no control now. The anatomical pathways are discussed, but are not clear.
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A diagnosis of the deep plunging ranula usually is based upon the history and clinical examination of the patient. The case presented here highlights the role of the CT scan in facilitating a definitive diagnosis. Visualization of the anatomic relations of the accumulated secretion, as it dissects its way through the cervical tissue planes, also is made possible.
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Many dentists have embraced the "holistic" dentistry movement. What is presented here is a critical examination of the logical and scientific fallacies inherent in this movement. Specific topics covered include amalgam "toxicity," applied kinesiology, nutrition quackery, acupuncture, homeopathy and the muddle that is commonly known as TMD.
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Local anesthetic, when administered properly and in correct dosages, is an essential part of pediatric oral health care. Recent adjustments to maximum safe dosage and careful administration techniques make local anesthetic use with children even safer and more effective. Safe dosage levels, technique recommendations and early clinical signs of possible overdose are presented here.
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Oral surgeons are frequently called upon to extract children's nonrestorable teeth. The procedure is often accomplished with either mask-induced general anesthesia or physical restraint with local anesthesia techniques. ⋯ It also highlights their difficulties. Special attention is paid to the pharmacology of midazolam and ketamine, and a protocol for dental extractions is defined.