Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Mar 2009
Relationship between severity of sleep-disordered breathing and craniofacial morphology in Japanese male patients.
The objective of this study was to assess the influence of factors of obesity and craniofacial morphology on the degree of obstructive sleep apnea syndrome (OSAS) in Japanese individuals. ⋯ In Japanese male OSAS patients, skeletal abnormalities are thought to be the factors that most greatly affect severity of OSAS.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Jan 2009
Case ReportsOrbital complications due to an acute odontogenic focus in a child. A case report.
The full clinical manifestations of complications due to odontogenic foci are rarely seen in daily dental practice and can take a clinically foudroyant course of development in young people owing to anatomic conditions, as demonstrated in this clinical case in a 12-year-old girl. Endodontic treatment of the first right upper molar was started owing to increasing toothache and swelling of fossa canina and the periorbital region. During the course of treatment, the patient exhibited an acute increase in orbital inflammation, which required immediate surgical intervention with postsurgical intravenous antibiotic administration. This case should serve to emphasize the crucial requirement for intensive attention to orbital symptoms after dental procedures.
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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.