Oral surgery, oral medicine, and oral pathology
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Oral Surg. Oral Med. Oral Pathol. · Jul 1979
Case ReportsTrismus after injection of local anesthetic.
Persistent pain at the site of injection is the most common complication of local anesthesia in the oral cavity. The complication of trismus after local anesthetic injection is rare and may be prevented by the use of short needles for maxillary posterior injections, and by the avoidance of multiple injections in a short period time. Once trismus develops, its progression to chronic hypomobility and fibrous ankylosis may be prevented by the early institution of treatment consisting of heat, analgesics, muscle relaxants, and exercises.
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Oral Surg. Oral Med. Oral Pathol. · Mar 1979
Case ReportsMalignant hyperthermia. Report of two cases.
A dentist using local or general anesthetics must be cognizant of the possibility of malignant hyperthermia presenting as a catastrophic emergency. The purpose of this article is to describe the syndrome of malignant hyperthermia, to emphasize its early clinical symptoms, and to outline definitive treatment. Two cases of malignant hyperthermia in pediatric dental patients illustrate the clinical and laboratory features and the appropriate therapy.
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The second division of the trigeminal nerve can be easily blocked by the intraoral route. The technique presented involves entering the greater palatine foramen, traversing the pterygopalatine canal with a needle, and depositing the local anesthetic solution into the superior aspect of the pterygopalatine fossa, where the trunk of the second division lies after the nerve exits the foramen rotundum. ⋯ This is followed by a discussion of the possible complications as well as their prevention and remedy should they occur. While this is not a new technique, it as been a forgotten one.
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Oral Surg. Oral Med. Oral Pathol. · Oct 1977
Comparative StudyFocal infection--the endodontic point of view.
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Twenty-eight cases of intraoral pemphigus vulgaris are presented. All had histologic confirmation, including twenty-six from intraoral biopsies. Detailed descriptions involving many clinical features are reported and discussed. Pertinent histologic findings are also described.