Oral surgery, oral medicine, and oral pathology
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Oral Surg. Oral Med. Oral Pathol. · Nov 1990
Comparative Study Clinical Trial Controlled Clinical TrialA study of the comparative efficacy of four common analgesics in the control of postsurgical dental pain.
Four common oral analgesics were tested in a single-blind trial to determine their relative efficacy in the management of postsurgical pain in 103 patients who had their impacted third molars surgically removed under general anesthesia. The analgesics tested were acetylsalicylic acid (26 patients), ibuprofen (26 patients), a paracetamol/codeine/caffeine combination (Solpadeine) (25 patients), and dihydrocodeine (26 patients). ⋯ Dihydrocodeine was found to be a poor analgesic in this pain model. There were no adverse reactions to any of the preparations.
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Oral Surg. Oral Med. Oral Pathol. · Nov 1990
Case ReportsUnilateral mydriasis caused by transdermal scopolamine.
Contamination of the eye after handling of a transdermal scopolamine patch may cause accidental mydriasis. A simple office test is discussed to identify this pharmacologic blockade and thereby avoid an extensive neurologic workup.
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Oral Surg. Oral Med. Oral Pathol. · Mar 1990
Randomized Controlled Trial Clinical TrialChlorhexidine prophylaxis for chemotherapy- and radiotherapy-induced stomatitis: a randomized double-blind trial.
Patients receiving cytotoxic antineoplastic therapy often have treatment-associated stomatitis. A 0.12% chlorhexidine digluconate mouthrinse was evaluated (15 ml, three times a day) in a prospective, double-blind randomized trial as prophylaxis against cytotoxic therapy-induced damage to oral soft tissues. Seventy subjects, forty inpatients receiving high-dose chemotherapy and thirty outpatients receiving high-dose head and neck radiation therapy, were evaluated. ⋯ Although no differences were observed in oral mucositis between the control and chlorhexidine groups of patients undergoing high-dose radiotherapy, similar reductions of oral microflora to those seen in the chemotherapy population were also noted for patients undergoing radiation therapy who received chlorhexidine. Although generally not significant, some increase in gram-negative bacilli was noted in the chlorhexidine-treated patients in both the chemotherapy and radiotherapy groups, but there was no correlation with increased systemic infection. Prophylactic chlorhexidine mouthrinse reduces oral mucositis and microbial burden in patients with cancer undergoing intensive chemotherapy.
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Oral Surg. Oral Med. Oral Pathol. · Feb 1990
Case ReportsFinger injury resulting from pulse oximeter probe during orthognathic surgery.
Pulse oximetry is a useful technique for perioperative monitoring of the surgical patient. The use of the finger clamp design of oximeter probes may cause finger injury in lengthy surgical procedures. A case is presented and discussed with respect to an ischemic finger injury created by an oximeter probe during a hypotensive anesthetic technique. Avoidance of this type of problem includes proper placement of the probe on the finger and changing the probe to a different finger every 3 to 4 hours.
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Oral Surg. Oral Med. Oral Pathol. · Jan 1990
Case ReportsMental nerve neuropathy in systemic cancer. Report of three cases.
Mental nerve neuropathy (MNN), an uncommon neurologic symptom, was observed in three patients with cancer. In the first patient, MNN was the primary manifestation of an occult carcinoma of the lung. ⋯ In the third patient, MNN coexisted with symptomatic trigeminal neuralgia as a consequence of a cavum adenocarcinoma. A nontraumatic MNN must be considered a potentially ominous symptom that should prompt a search for cancer.