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At least 361 records · Page 20Linked to original sources
PubMed1992

Chronic osteomyelitis of the mandible: case report.

Chronic osteomyelitis is a devastating disease of unknown etiology. The primary cause is usually thought to be microbiological. The diagnosis of osteomyelitis of the mandible is arduous, particularly in the early stages, and this disease is almost always difficult to cure. Clinical symptoms, radiographic changes and histologic findings are characteristic of this disease. Treatment modalities have been directed toward eradicating microbes and improving circulation, in the early stages. In the case presented, surgical debridement and IV antibiotics were the treatment of choice. The bone biopsy histopathology report in this case, revealed normal bone, which was inconsistent with chronic osteomyelitis. This article delves into the literature providing history and current research trends in the diagnosis, treatment and follow up care for chronic osteomyelitis.

Adult↗
PubMedDate not supplied

[The incidence and dynamics of the development of alveolitis over the course of a year].

Analysis of the results of 8019 operations for removal of teeth, carried out within 5 years by one physician under the same conditions, has shown that alveolitis developed in 1.87 +/- 0.15% of cases, on an average. The risk of alveolitis was found the highest from December to March and the lowest from June to September, as evidenced by estimation of the index of the seasonal fluctuations in the morbidity (a total of 120 to 140 teeth were removed within a month, on an average).

Adolescent↗
PubMed1992

[The therapy of the postextraction syndrome with Taurolin. A controlled clinical study].

In a controlled clinical study with a total of 200 patients the broad spectrum agent and antitoxin taurolidine (Taurolin) was clearly superior to conventional medication with the broad spectrum antibiotic chlortetracycline (Aureomycin) when applied topically to treat the postextraction syndrome. Thus, the mean duration of therapy (primary target criterion) with Taurolin (group A) was 5.6 days compared to 8.2 days with the standard therapy (group B). In statistical terms this difference was highly significant (p < 0.0001). Compared with the conventionally treated patient group, the clinical control parameters such as pain, swelling, secretion, tenderness to pressure and remission (secondary target criteria) in the Taurolin group exhibited not only a markedly more rapid normalisation of the score-data during the initial phase, but also an appreciably shorter interval until the patients were symptom-free. Age, gender, localisation of the lesion or facultative systemic antibiotic or analgetic administration had no demonstrable effect on the course of the treatment, although the patients in the reference group required concomitant medication with antibiotics (p = 0.007) and analgetics (p = 0.01) considerably more often than those in the Taurolin group.

Adult↗
PubMed2004

Bilateral anesthesia into Spix's spine. Ten years' experience.

AIM: This study examines 10.112 cases in 10 years of bilateral block anaesthesia to Spix's spine. The aim of this study is therefore to eliminate any doubt about executing a bilateral anaesthesia to Spix's spine for the extraction, in inclusion and impacted of the inferior wisdom teeth. METHODS: A retrospective study was carried out on 10,112 operations (59% females, 41% males,) regarding the removal of the lower 3 molar teeth undertaken in the past 10 years. Locoregional anaesthesia and standard instruments and protocol were applied to all operations. The anaesthetic used was mepicavina at 2% with epinefrine 1:100,000 with a 4 x 25 mm, 27 Gauge needle. In order to completely anaesthetize the areas subject to surgery a quantity of approximately 3-ml on each side was injected. Local anaesthetics used were the same throughout the study; all the patients were in good health and not undergoing any pharmaceutical treatment. RESULTS: The onset of complications was 3 times less when using local anaesthesia (LA) compared to general anaesthesia (GA). It was also proven that local anaesthesia was advantageous, as the operation time was considerably less (24 min for LA and 46 min for GA). CONCLUSIONS: The paper shows that LA offers a significant reduction in complications, psychological advantages for the patients and facilitation of the operational position too, so that GA is to be preferred only for non-cooperative patients.

Adult↗