Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Oct 2006
Comparative StudyThe changing pattern of analgesic and anti-inflammatory drug use in cleft lip and palate repair.
This work aimed at performing a retrospective and comparative investigation of pharmacological therapeutic approach for pain and inflammation control for cleft lip and/or palate repair. ⋯ NSAIDS, steroids, and opioids were used for pain and inflammation control in cleft lip and palate repair at HRAC-USP. A change in the pattern of analgesic and anti-inflammatory drug use was observed when comparing 1992 and 2002. More potent compounds, such as opioids, were used in 2002 in a significant percentage of all the surgical procedures.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Oct 2006
Case ReportsLip hypertrophy secondary to cyclosporine treatment: a rare adverse effect and treatment considerations.
Gingival hypertrophy is a well-known and extensively documented undesirable side effect of cyclosporine in posttransplant patients. However, severe lip enlargement associated with cyclosporine is less recognized and has seldom been reported in the literature. Lip enlargement may lead to social, physical, and psychological stress, especially in the older childhood and adolescent age groups. ⋯ Cyclosporine has most effectively and conclusively enabled transplantation of solid organs by reducing transplant-associated morbidity. We believe clinicians should be knowledgeable and aware of lip hypertrophy associated with cyclosporine use. This rare and less understood adverse effect should be recognized during the clinical evaluation of the posttransplant patient.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Sep 2006
Perioperative management of the geriatric patient. Part I: respiratory system.
The population of the United States is aging. It is expected that the population age 65 and older will increase to nearly 60 million by the year 2030 and those age 85 and over to nearly 11 million. ⋯ Structural and physiologic changes associated with advancing age, combined with the increased likelihood of major disability or disease, significantly increase the risk of perioperative complications. These articles review the major age-related changes and the effect they have on the perioperative management of these patients.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Sep 2006
Randomized Controlled TrialThe efficacy comparison of ibuprofen, acetaminophen-codeine, and placebo premedication therapy on the depth of anesthesia during treatment of inflamed teeth.
The purpose of this study was to elucidate whether premedication therapy with acetaminophen-codeine or ibuprofen is able to increase the depth of anesthesia in inflamed teeth. Sixty patients with the diagnosis of irreversible pulpitis in 1 mandibular tooth requiring root canal therapy (RCT) were selected. Two other teeth in the same quadrant were selected as controls. ⋯ This comparison between ibuprofen and placebo groups also showed significant differences (P approximately 0). Also, significantly lower TSL of inflamed teeth was observed in the ibuprofen group in comparison with the acetaminophen-codeine group (P = .002). This study reflected preoperative administration of ibuprofen, if not contraindicated, as a drug of choice 1 hour before local anesthesia injection as an effective method for achieving a deep anesthesia during RCT of teeth with irreversible pulpitis.
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod · Sep 2006
Case ReportsBilateral tonsillolithiasis: a case report.
Although tonsilloliths are reported to be fairly common, florid cases casting distinct radiopaque shadows on panoramic radiographs are not often reported. This report illustrates such a case as an incidental finding in an asymptomatic 38-year-old female dental patient. ⋯ These radiopacities were localized to the palatine tonsils by computerized tomographic inspection. Tonsillectomy was performed and tonsillolithiasis was confirmed by histopathologic examination.