Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2006
Review Meta Analysis Comparative StudyEvaluation of the formocresol versus mineral trioxide aggregate primary molar pulpotomy: a meta-analysis.
To apply meta-analysis to compare the clinical and radiographic effects of mineral trioxide aggregate (MTA) with formocresol (FC) when used as wound dressing for pulpotomy of primary molars. ⋯ MTA induces less undesirable responses and might be FC's suitable replacement.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2006
Case ReportsDifficulties in anesthetic management of patients with micrognathia: report of a patient with Stickler syndrome.
Stickler syndrome is an autosomal dominant multisystem disorder with characteristic midface hypoplasia, retromicrognathia, cleft palate and a "moon-shaped" appearance. Progressive myopia and retinal degeneration are frequent. ⋯ In this case report the difficulties in anesthetic management of patients with micrognathia and repeated anesthetic courses of a child with Stickler syndrome are presented. It is vital to detect the syndrome in early stages so that adequate counseling and treatment may be given to avoid the potentially irreversible and disabling consequences.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2006
Randomized Controlled TrialCardiovascular effects of epinephrine under sedation with nitrous oxide, propofol, or midazolam.
During implant surgery, a large amount of local anesthetics containing epinephrine are often required, and the resulting cardiovascular effects of administered epinephrine are not negligible. On the other hand, sedation has wide applications in implant surgery. Nitrous oxide, propofol, or midazolam are commonly used as sedative drugs, and each has also its own cardiovascular effects. The objective of this study was to investigate the cardiovascular effects of epinephrine on patients under sedation with nitrous oxide, propofol, or midazolam. ⋯ Increased cardiovascular activity due to epinephrine can be alleviated by propofol. However, midazolam and nitrous oxide are of no advantage for stabilizing the hemodynamic status of the patient. Intravenous sedation with propofol is useful during oral surgical procedures in which a large amount of epinephrine is required.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2006
Brain activity during stimulation of the trigeminal nerve with noxious heat.
The aim of this study was to observe areas of brain activation with painful hot stimulation to the trigeminal nerve. ⋯ Painful stimulation of the trigeminal nerve resulted in activation of similar brain areas generally known for pain processing of painful peripheral stimulation.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2006
Case ReportsRamsay-Hunt syndrome with vesicular stomatitis in a 4-year-old infant.
Ramsay-Hunt syndrome (RHS) usually affects adults, but rare cases of preschool children with RHS have been reported. We report a case of RHS in a healthy 4-year-old girl. ⋯ She was treated with acyclovir and steroids. Six months later, her facial paralysis had almost fully resolved.