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[Clinical study of alveolites and their treatment in multiple practice].

The alvéolite is an post-extractionnel accident, very frequent, unforeseeable, characterized by a deterioration of the physiological process of formation of the clot and occurring as well at the healthy subject at the degenerate. The objective of this work is to make an exploratory study on the cases of alvéolites which have occurred in three structures of odontological care in Dakar between October 2000 and June 2001. We studied the clinical and therapeutic aspects alveolites among 55 patients having undergone 168 extractions. On the whole 68 cases of alveolites were indexed including 18 suppurées forms and 50 dry forms. The alveolite was occured among 44 women and 11 men and the section of age which most touched ranges between 20 and 29 ans (51 %). The evoked factors etiologic are multiples(taken oral contraceptives, use of vasoconstricteurs. technical of extraction etc?). The treatment is local by type of antiseptic paste and general with base of antibiotic, antiseptic and anti-inflammatory. We don't have real coding of the treatment. The prevention remains the best attitude and consists with: - To carry out the acte operational with a rigorous asepsis - To avoid the inopportune instrumental traumatisms - To Irrigate the bone in permnance during the utilisation of rotary instruments.

Adolescent↗

Clinical and histological study of a xenogenic bone substitute used as a filler in postextractive alveolus.

AIM: The development of oral implant techniques and the demand for the treatment of increasingly complex cases have drawn the attention of researchers and clinicians towards those systems and materials able to promote bone regeneration. The aim of this paper is to evaluate the clinical behavior and in particular the resorption times of the material used as a filler in postextractive alveolus with the intent of preserving the ridge volume, a prerequisite for successive insertion of osteointegrated fixtures. METHODS: A group of 12 patients, aged between 30-40 years, have been selected at the Oral Surgery Unit of the San Giovanni Calibita Hospital in Rome. They all required an endosseous implant following the loss of a dental element due to radicular fracture of periodontal pathology. The grafting material used is OsteoBiol Putty, an antigen-free bone paste composed of 80% granulated mix and 20% pure collagen. RESULTS: The results emerging from the histological analysis show that 3 months after insertion of this osteoconductive material in the receiving site it can no longer be detected in the samples collected and it has been completely substituted by trabecular bone tissue. CONCLUSIONS: The conclusion is drawn that the heterologous material used in this study shows excellent manageability allowing the operator to easily and accurately remove and shape it in the receiving site.

Adult↗

Influence of smoking upon the postoperative course of lower third molar surgery.

OBJECTIVES: To determine whether smoking influences the postoperative course (pain and trismus) of lower third molar surgery, with a clinical evaluation of surgical wound condition and analysis of the possible differences between smokers and nonsmokers. DESIGN: The study subjects were randomly distributed into two groups (smokers and nonsmokers) and subjected to lower third molar extraction in the Unit of Oral and Maxillofacial Surgery (Madrid Complutense University, Spain). The study variables were trismus after 7 days, the intensity of pain and the need for rescue medication during a period of one week. The surgical wound was also assessed (color, presence of plaque, etc). RESULTS: Two cases of postoperative infection were documented among the smokers, and postoperative trismus was found to be greater among the latter (p=0.05). CONCLUSIONS: There were no statistically significant differences between the two groups in terms of pain, though trismus was greater among the smokers. Smoking did not influence wound condition (color, marginal inflammation, appositioning of the margins, ulceration, etc).

Adolescent↗

[Size of wound area and frequency of alveolitis after tooth extraction].

Electron spin resonance was used to measure out 160 tooth root surfaces. These data represent a measure for wound area sizes after tooth extractions. A comparison of these values with clinical data results in a correlation between the size of wound area and the frequency of inflammatory healing disorders after tooth extractions.

Dry Socket↗

Clinical evaluation of post-extraction site wound healing.

AIM: The aim of this prospective study was to evaluate the clinical pattern of post-extraction wound healing with a view to identify the types, incidence, and pattern of healing complications following non-surgical tooth extraction. STUDY DESIGN: A total of 311 patients, who were referred for non-surgical (intra-alveolar) extractions, were included in the study. The relevant pre-operative information recorded for each patient included age and gender of the patient, indications for extraction, and tooth/teeth removed. Extractions were performed under local anesthesia with dental forceps, elevators, or both. Patients were evaluated on the third and seventh postoperative days for alveolus healing assessment. Data recorded were: biodata, day of presentation for alveolus healing assessment, day of onset of any symptoms, body temperature (degrees C) in cases of alveolus infection, and presence or absence of pain. RESULTS: Two hundred eighty-two patients (282) with 318 extraction sites were evaluated for alveolus healing. Healing was uneventful in 283 alveoli (89%), while 35 alveoli (11%) developed healing complications. These complications were: localized osteitis 26 (8.2%); acutely infected alveolus 5 (1.6%); and an acutely inflamed alveolus 4 (1.2%). Females developed more complications than males (p=0.003). Most complications were found in molars (60%) and premolars (37.1%). Localized osteitis caused severe pain in all cases, while infected and inflamed alveolus caused mild or no pain. Thirty patients (12%) among those without healing complications experienced mild pain. CONCLUSIONS: Most of the post-extraction alveoli healed uneventfully. Apart from alveolar osteitis (AO), post-extraction alveolus healing was also complicated by acutely infected alveoli and acutely inflamed alveoli. This study also demonstrated a painful alveolus is not necessarily a disturbance of post-extraction site wound healing; a thorough clinical examination must, therefore, be made to exclude any of the complications.

Adolescent↗

[The role of low-frequency ultrasound in the combined treatment of alveolitis].

The authors claim that combined use of a special therapeutic paste and low-frequency ultrasound for therapy of alveolitis help reduce the number of visits to a dentist and shorten the treatment duration. Fifteen patients were treated by this method. They had to visit the dentist two times less and the number of invalidity days was less by 2.2 days, on an average.

Combined Modality Therapy↗

[The role of fibrinolysis in the pathogenesis of alveolitis after tooth extraction. Preliminary report].

We registered fibrinolytic activity of blood within fresh wounds after tooth extractions by means of measuring fibrinolysis in vitro. In cases which later developed alveolitis we found higher degrees of fibrinolysis. Women taking oral hormonal contraceptives showed fibrinolysis to a greater extent than other women or men. We found more fibrinolytic activity in cases with longer extraction times. Possible starting points for prevention of alveolitis are discussed.

Contraceptives, Oral, Hormonal↗

[Brephoplasty of an inflamed alveolus with bone chips (histological research)].

Bone tissue regeneration and abatement of inflammatory processes in the well after tooth extraction were examined in experimental dogs treated with iodoform and crushed brefobone preserved in 0.5 percent formalin. Histologic study has confirmed the efficacy of crushed brefobone employment for the inflamed well plasty, for such treatment was conducive to a sooner abatement of the inflammation and regeneration of bone tissue in the well.

Animals↗

[The clinico-biophysical parallels of mixed saliva in odontogenic inflammatory diseases].

Mixed salivary pools of 102 patients suffering from odontogenic inflammations were examined in microwave field over the period of 3 to 42 days from the disease onset. Immunoglobulins of the three main classes were measured in these salivary pools starting from the fourth through the 28th day of the disease. Graphs reflecting the time course of the coefficient of biophysical parameters and immunoglobulin levels in patients' mixed saliva were plotted and a mathematical model of an odontogenic inflammation described for the first time, and the markers of the phases of these inflammations defined.

Adolescent↗

[Studies on the therapeutic efficacy of a HeNe laser].

Numerous manufactures recommend He-Ne-Lasers for a wide range of applications in medicine and dentistry. An athermal biostimulating mechanism of action is postulated to result in rapid reduction of pain and accelerated wound healing. The efficacy of a commercially available He-Ne-Laser in the treatment of alveolitis, solitary aphthae, ulcers caused by dentures, herpes simplex labialis, marginal periodontopathy and pericoronitis was investigated in 90 cases. Except for a placebo effect no reproducible therapeutic effects could be seen. Nevertheless, there is a high degree of acceptance for laser application by most of patients.

Adult↗