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Biomedical subjects

A H Friedlander

Publications and source records attributed to A H Friedlander.

At least 91 records · Page 5Linked to original sources

Sclerosing hemangioma of the tongue: report of case.

An instance of a large sclerosing-type hemangioma of the tongue is reported with the pathogenesis of the lesion. A review of the literature suggests that the process is part of the natural evolution of hemangiomas and merely represents a regressive phenomenon. In the oral cavity where there are no areas that are free of repeated trauma, chronic irritation may incite the fibrosis and other retrogressive features that have been described.

Biopsy↗

Mandible stabilization between ablative and reconstructive surgery.

The biphase external skeletal-fixation splint (Morris splint) for mandibular stabilization has been used in cases of ablative surgery. It is a practical approach to stabilization for patients whether or not they undergo reconstruction, either immediate or delayed. The Morris splint can be applied without increasing the time required for major resection. It can be left in place for prolonged periods, but it still allows easy surgical access and easy postoperative care and observation. While not a new tool, it has been little used by the head and neck cancer surgeon, probably because it has not been presented for this purpose but rather for treating fractures. A practical approach to the use of the Morris biphase splint is presented, as well as the indications for its use and some results of our experience with this tool.

Bone Screws↗

Dental conditions in patients with bipolar disorder on long-term lithium maintenance therapy.

Bipolar disorder (manic depressive disease) affects 1% of the United States population. These persons suffer from episodes of extreme elation followed by long periods of depression. Dental screening examinations of 40 patients consecutively admitted to the medical center with this diagnosis were performed. Poor oral hygiene, accumulations of supragingival and subgingival calculus, extensive dental caries, and numerous missing teeth were commonly identified. The majority of patients with bipolar disorder are treated with lithium carbonate. The physiological effects of lithium, and its interaction with drugs used in dentistry are reviewed, and disease-specific modifications in dental treatment are recommended.

Adult↗

Dental management of the patient with obsessive-compulsive disorder.

Individuals with obsessive-compulsive disorder frequently manifest bizarre behaviors that contribute to the oral disease development. The medications used to manage the disorder can cause profound xerostomia and compound the magnitude of oral pathology. The patient's behavioral alterations and drug therapy might require dental treatment modifications.

Adolescent↗

Oral health care for the patient with schizophrenia.

Schizophrenia is a psychiatric disorder affecting 1% of the United States population. Conceptualizing the disorder as consisting of "positive" and "negative" symptoms has led to improved treatment modalities. Medications used in managing the "positive" symptoms have numerous systemic and orofacial adverse side effects that must be recognized by the dentist. Dental treatment strategies for the identification and management of these side effects are described. "Negative" symptoms are responsible for chronicity of the disorder and frequently impede rehabilitation. These symptoms are potentially devastating to oral health as they impair a patient's desire and ability to invoke preventive oral hygiene. Treatment strategies to improve compliance with oral hygiene techniques are outlined. A medication specifically indicated for patients with treatment-sistant ++ disease and marked "negative" symptoms has recently been approved for use in the United States. The systemic and orofacial adverse side effects of this medication and its influence on dental management are reviewed.

Dental Care for Persons with Disabilities↗