Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2011
Randomized Controlled Trial Comparative StudyPSA block for maxillary molar's anesthesia - an obsolete technique?
Routine use of posterior superior alveolar (PSA) nerve block or maxillary infiltration for the removal of maxillary molars has been validated. ⋯ Considering the difficulty in mastering the technique of PSA nerve block, and the possibility of more complications associated with it (compared with infiltration); it may not be necessary for anesthesia of maxillary molars.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2011
Comparative StudyComparison of three pain scales after impacted third molar surgery.
Recently, a pain assessment scale called "full cup test" (FCT) has been suggested for pain evaluation. It is claimed to be easier to use for the patient, and it allows using parametric tests for statistical analyses. The aim of this study was to evaluate the validity of the FCT in third molar surgery. ⋯ The FCT can be used to assess the postoperative pain after third molar surgery.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2011
Comparative StudyThe association between orthodontic treatment need and maxillary incisor trauma, a retrospective clinical study.
Identifying risk factors for dental trauma in children is important. The main aim of this retrospective study was to investigate the association between maxillary incisor trauma (MIT) and variables such as gender, malocclusion complexity, and orthodontic treatment need (OTN). ⋯ The higher risk of experiencing MIT in malocclusions with difficult complexity warrants more vigilant screening of this group before and during dental or orthodontic treatment.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Oct 2011
ReviewResearch diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings.
The aim of this study was to summarize and systematically review the literature on the prevalence of different research diagnostic criteria for temporomandibular disorders (RDC/TMD) version 1.0 axis I diagnoses in patient and in the general populations. ⋯ Prevalence reports were highly variable across studies. Myofascial pain with or without mouth opening limitation was the commonest diagnosis in TMD patient populations, and disc displacement with reduction was the commonest diagnosis in community samples.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Sep 2011
ReviewMalignant hyperthermia in the oral and maxillofacial surgery patient: an update.
Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases, such as halothane, sevoflurane, desflurane, the depolarizing muscle relaxant succinylcholine, and, rarely in humans, to stresses, such as vigorous exercise and heat. The syndrome is likely to be fatal if untreated. Early recognition of the signs of MH provides the clinical diagnostic clues. ⋯ Dantrolene sodium is a specific antagonist of the pathophysiologic changes of MH and should be available wherever general anesthesia is administered. The prevention and treatment of acute episodes of this disorder is of paramount importance to the oral and maxillofacial surgeon. The management of such patients in the oral and maxillofacial surgery setting and the recent advances in the field of MH are presented.