Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Mar 2008
Case ReportsNumb chin syndrome: a nonmetastatic neurological manifestation of malignancy.
Numb chin syndrome, sometimes called numb lip syndrome, is an uncommon but well-recognized symptom in medical oncology. It may be a nonmetastatic neurological manifestation of malignancy, often with no clinically visible pathology. ⋯ Numb chin syndrome is almost unknown within the dental and oral and maxillofacial community, despite being well reported in the medical literature. We urge all general dentists, oral medicine specialists, and oral and maxillofacial surgeons to consider metastatic cancer in patients with unexplained facial hypoesthesia.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Mar 2008
Influence of the menstrual cycle on the pressure pain threshold of masticatory muscles in patients with masticatory myofascial pain.
The aim of this study was to investigate the influence of the menstrual cycle and oral contraceptive (OC) intake on the pressure pain threshold (PPT) of masticatory muscles in patients with masticatory myofascial pain (MFP). ⋯ Different phases of the menstrual cycle have no influence on PPT values, regardless of the presence of a previous condition, as masticatory myofascial pain, while the intake of OC is associated with decreased levels of reported pain.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Jan 2008
ReviewThe rationale and method for autoclaving anesthetic cartridges for surgical trays.
This review assesses the effectiveness of alcohol wiping of anesthetic cartridges prior to their use on surgical trays. Based on the referenced studies of alcohol disinfectants, it is clear that alcohol does not qualify for surgical use. A dedicated method of autoclaving anesthetic cartridges, which are vertically held with their plungers upward, followed by a no-pressure-released cooling-off period, is discussed and recommended. The processed cartridges are dry, sterile, ready for use, and fully functional.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Dec 2007
ReviewTrigeminal autonomic cephalalgias. Part 3: short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing.
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a syndrome characterized by severe, strictly unilateral short-lasting (between 5 and 240 seconds) pain localized to orbital, supraorbital, and temporal areas, accompanied by ipsilateral conjunctival injection and lacrimation. It represents 1 of 3 primary headaches classified as trigeminal autonomic cephalalgias (TACs). Although its prevalence is extremely small, SUNCT patients may present at dental offices seeking relief for their pain. ⋯ This will avoid the pitfall of implementing unnecessary and inappropriate traditional dental treatments in hopes of alleviating this neurovascular pain. The following article is part 3 of a review on TACs and focuses on SUNCT. Aspects of SUNCT, including epidemiology, genetics, pathophysiology, clinical presentation, classification and variants, diagnosis, medical management, and dental considerations are discussed.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Nov 2007
ReviewTrigeminal autonomic cephalalgias. Part 2: Paroxysmal hemicrania.
Paroxysmal hemicrania (PH) is characterized by severe, strictly unilateral pain attacks lasting 2 to 30 minutes localized to orbital, supraorbital, and temporal areas accompanied by ipsilateral autonomic features. It represents 1 of 3 primary headaches classified as trigeminal autonomic cephalalgias. Although PH is rare, patients may present to dental offices seeking relief for their pain. ⋯ This will avoid the pitfall of implementing unnecessary and inappropriate traditional dental treatments in hopes of alleviating this neurovascular pain. This is part 2 of a review on trigeminal autonomic cephalalgias and focuses on PH. Aspects of PH including epidemiology, genetics, pathophysiology, clinical presentation, classification and variants, diagnosis, medical management, and dental considerations are discussed.