Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2008
Controlled Clinical TrialInhalational conscious sedation with nitrous oxide enhances the cardiac parasympathetic component of heart rate variability.
We investigated the effects of conscious sedation by 30% nitrous oxide inhalation on the cardiac autonomic nervous system in the absence or presence of music listening. ⋯ Inhalational sedation with nitrous oxide shifted cardiac sympathetic-parasympathetic balance toward a parasympathetic dominance via the suppression of sympathetic activity. Music listening during sedation did not provide further relaxing effects.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2008
ReviewOperative treatment of trigeminal neuralgia: review of current techniques.
Surgical approaches to pain management are performed when medication cannot control pain or patients cannot tolerate the adverse effects of the medication. Microvascular decompression (MVD) is generally performed when the patient is healthy and relatively young. Partial sensory rhizotomy is performed in addition to, or instead of MVD, in patients in whom significant compression of the trigeminal sensory root does not exist or in whom MVD is technically not feasible. ⋯ GKS is inferior to the 3 ablative procedures in terms of initial pain relief and recurrence, but superior in terms of complications. Peripheral procedures are usually performed in patients not suitable for or not wishing to have other procedures. However, no strict rules exist and each patient should be evaluated individually.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2008
Case ReportsRecurrent oral ulceration: aphthous-like ulcers in periodic syndromes.
Recurrent oral ulceration that clinically resembles recurrent aphthous stomatitis but presents atypically, including commencement after adolescence, with fever, with a strong family history, or failing to resolve with age, has been termed aphthous-like ulceration (ALU). It may be seen in some immunodeficiency states, chronic viral infections, rheumatologic disorders, skin diseases, and the periodic syndromes. ⋯ Genetic studies have enhanced the clinical characterization of these conditions and elucidation of their molecular etiopathogenesis. This paper describes 2 patients with periodic syndromes presenting with ALU and reviews the present understanding of the syndromes.