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
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.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Nov 2006
Randomized Controlled Trial Clinical TrialPostoperative analgesia after lower third molar surgery: contribution of the use of long-acting local anesthetics, low-power laser, and diclofenac.
Postoperative pain is a common phenomenon after surgical extraction of lower third molars (LTM), and its successful control is an essential part of routine oral surgery. The aims of the study were twofold: (1) to evaluate the postoperative analgesic efficacy, comparing long-acting and intermediate-acting local anesthetics; and (2) to compare the use of low-power laser irradiation and the nonsteroid anti-inflammatory drug diclofenac, which are claimed to be among the most successful aids in postoperative pain control. ⋯ Provided that basic principles of surgical practice have been achieved, the use of long-acting local anesthetics and low-power laser irradiation enables the best postoperative analgesic effect and the most comfortable postoperative course after surgical extraction of LTMs.