Oral surgery, oral medicine, and oral pathology
-
There is some disagreement about the validity of the clinical term "pregnancy tumor." On the basis of its clinical presentation and histologic appearance, some authors believe that it simply represents a pyogenic granuloma (PG), whereas others believe that the lesion is unique because of the apparent influence of female sex hormones. In an attempt to resolve this problem, a study was undertaken to determine whether a significant correlation exists between PG and pregnancy, and whether the clinical term applies to the other epulides. The study involved 42 epulides diagnosed clinically as pregnancy tumors. ⋯ Very few focal fibrous hyperplasias (fibromas) were diagnosed as pregnancy tumors. Clinical and behavioral features of pregnancy tumors diagnosed microscopically as PGs were also analyzed. The results indicated that the diagnosis of pregnancy tumor is valid clinically in describing a PG occurring in pregnancy, because it describes a distinct lesion not on the basis of histologic features but on etiology, biologic behavior, and treatment protocol.
-
Oral Surg. Oral Med. Oral Pathol. · May 1991
Review Case ReportsIatrogenic pneumomediastinum after endodontic therapy.
An unusual case of pneumomediastinum caused by subcutaneous emphysema occurring after the use of hydrogen peroxide solution during root canal treatment is described in a 30-year-old man. A thorough search of the available literature failed to reveal similar cases. A review of the literature, including pathogenesis, clinical and radiographic features, and management of this condition, is presented.
-
Oral Surg. Oral Med. Oral Pathol. · Feb 1991
Case ReportsReferred pain of muscular origin resembling endodontic involvement. Case report.
Referred pain is common in the orofacial region and can cause considerable difficulties in diagnosis. Referred pain is defined as pain that is referred to a part of the body other than the site of origin, and as a result, severe pain may arise without an associated causative lesion. A muscular trigger point that resembled a tooth with endodontic involvement is discussed.
-
Oral Surg. Oral Med. Oral Pathol. · Jan 1991
GuidelineGuidelines for intraoperative monitoring of dental patients undergoing conscious sedation, deep sedation, and general anesthesia.
The promulgation and adoption of intraoperative monitoring standards in medicine for anesthesia has resulted in early detection of untoward events during sedation and anesthesia, lowering of malpractice premiums, and an improvement in the quality of care. The American Dental Society of Anesthesiology has devised specific, detailed monitoring standards with universal applicability in the dental setting.
-
Oral Surg. Oral Med. Oral Pathol. · Dec 1990
Oral melanotic macules in patients infected with human immunodeficiency virus.
A group of 217 patients seropositive for human immunodeficiency virus (HIV) were studied for 2 years, during which time pigmented lesions of the oral mucosa developed in 14 (6.4%) of them. The lesions were well circumscribed in some cases and diffuse in others. In some patients the macules enlarged or recurred after surgical excision. ⋯ However, the clinical behavior of these lesions appears to be different during the course of HIV infection. In some HIV-infected patients the cause of the macules might relate to the administration of zidovudine and antifungal or antibacterial drugs. In others the cause remains unknown and could be due to multiple factors.