Oral surgery, oral medicine, and oral pathology
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Oral Surg. Oral Med. Oral Pathol. · Jan 1986
Case ReportsChronic osteomyelitis of mandible caused by penicillin-resistant Bacteroides ruminicola. Report of a case.
Osteomyelitis of the jaws caused by a Bacteroides species is uncommon. A case of osteomyelitis of the mandible caused by penicillin-resistant Bacteroides ruminicola is reported. The diagnosis was confirmed by isolation of the organism and bone scan (99mTc medronate disodium) of the mandible. Clindamycin and hyperbaric oxygen therapy resolved the infection.
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Oral Surg. Oral Med. Oral Pathol. · Dec 1985
Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients.
Myofascial pain syndrome (MPS) is a common but misunderstood muscular pain disorder involving pain referred from small, tender trigger points within myofascial structures in or distant from the area of pain. Misdiagnosis or inadequate management of this disorder after onset may lead to development of a complex chronic pain syndrome. A review of the clinical characteristics of 164 patients whose chief complaints led to the diagnosis of MPS revealed that these patients had (1) tenderness at points in firm bands of skeletal muscle that were consistent with past reports, (2) specific patterns of pain referral associated with each trigger point, (3) frequent emotional, postural, and behavioral contributing factors, and (4) frequent associated symptoms and concomitant diagnoses.
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Oral Surg. Oral Med. Oral Pathol. · Sep 1985
Clinical Trial Controlled Clinical TrialOral complications of acute leukemia: prophylactic impact of a chlorhexidine mouth rinse regimen.
The prophylactic value of twice-daily mouth rinses with a solution of 0.1% chlorhexidine gluconate in minimizing oral complications during remission-induction chemotherapy was tested in sixteen patients with acute myeloblastic leukemia. The study design was double blind with a placebo control. ⋯ A moderate increase in tooth staining was observed in the treatment group. The results also suggested the potential value of chlorhexidine mouth rinses in the prophylaxis of oral candidiasis in the myelosuppressed patient.
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Oral Surg. Oral Med. Oral Pathol. · Jul 1985
Case ReportsPeripheral facial nerve paralysis after local dental anesthesia.
An unusual case of unilateral peripheral facial nerve paralysis following local dental anesthesia is reported. The onset of the paralysis was 13 days after the injection, whereas the longest period reported previously was 5 days. The etiology, management, and prognosis are discussed.
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Oral Surg. Oral Med. Oral Pathol. · Jun 1985
Drug interactions and vasoconstrictors used in local anesthetic solutions.
This study examined widely advertised interactions between sympathomimetic amine vasoconstrictors currently used in dental local anesthetic solutions and MAO inhibitors (phenelzine, 5 mg/kg), phenothiazines (chlorpromazine, 2 mg/kg), and tricyclic antidepressants (desipramine, 2 mg/kg). Twelve greyhound dogs premedicated with morphine and anesthetized with urethane and alpha-chloralose were prepared for physiologic recordings. During a control period, the dogs received bolus injections of epinephrine, norepinephrine, and levonordefrin sufficient to construct log-linear dose-response curves for each agent. ⋯ Cardiovascular responses were not influenced by the coadministration of local anesthetics or by the prior administration of phenelzine. Chlorpromazine ameliorated pressor responses to norepinephrine and levonordephrin and reversed the hypertensive effect of high-dose epinephrine. Desipramine significantly increased vasoconstrictor potencies, particularly those of levonordefrin and norepinephrine, which were multiplied more than sixfold.