Minerva stomatologica
-
Minerva stomatologica · Jul 2012
Case ReportsLocal anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique.
Breakage of a local anesthetic needle in dentistry is a rare but potentially serious event. Here we describe a case of breakage of a hypodermic needle during administration of local anesthesia with a Vazirani-Akinosi mandibular nerve block in a 5-year-old uncooperative patient under moderate sedation with midazolam. The needle was localized using a fluoroscopy device and then removed under general anaesthesia. The postoperative course was unremarkable, without any neurological or vascular deficits.
-
Minerva stomatologica · Jul 2011
Randomized Controlled Trial Comparative StudyComparison by means of bispectral index score, between anxiolysis induced by diazepam and sedation induced by midazolam.
Bispectral Index Score (BIS) is an objective tool to assess sedation depth. Benzodiazepines have different pharmacological profiles and diazepam may be safer than midazolam in this setting. The aim of this study was to compare BIS values observed during anxiolysis after diazepam versus sedation after midazolam. ⋯ Diazepam has a safer profile, with BIS values and clinical conditions according to the definition of minimal and/or moderate sedation. Diazepam represents the safer drug for anxiety management in dentistry, because regularly produces a state of sedation during which verbal contact with the patient is maintained and carry a margin of safety wide enough to render loss of consciousness unlikely.
-
Minerva stomatologica · Sep 2010
Randomized Controlled Trial Comparative StudyPatients appreciation for information on anesthesia and anxiolysis in dentistry.
The research regards information on anesthesia to patients undergoing oral surgery. Every patient evaluated the information received at the end of the preoperative visit and in the postoperative period. ⋯ The information on the anxiolytic techniques, loco-regional anesthesia, treatment of perioperative pain and postoperative distress was enthusiastically accepted and albeit initially induced feelings of astonishment resulted to be appreciated and preferred in the whole of the patients.
-
Minerva stomatologica · Nov 2009
Comparative StudyRole of psychosocial factors in the etiology of temporomandibular disorders: relevance of a biaxial diagnosis.
The prevalence of temporomandibular disorders (TMD) is higher among women than men, indicating a multifactorial role for gender-related differences in the etiology of TMD: physiological hormonal differences, inflammatory response to stress, and sociocultural differences in response to pain. The aim of this study was to draw a biobehavioral picture of the TMD patient based on Research Diagnostic Criteria for TMD (RDC/TM) Axis II diagnosis and analysis of gender-related differences. ⋯ Gender-related differences may be considered risk factors for TMD; psychological characteristics, including somatization, depression, and anxiety related to gender, appear to have a significant impact on the prevalence of TMD.
-
Minerva stomatologica · May 2009
Comparative StudyMandibular condylar fractures and acute atlanto-axial subluxation. Part 1 - A new clinical and nosographic evidence.
The aim of this study was to analyze the acute repercussions of condylar mandibular fractures on occipital-atlanto-axial joint. ⋯ The authors state that these results represent a new nosographic entity associated with the condylar mandibular fractures with important clinical, insurance and legal repercussions.