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At least 415 records · Page 23Linked to original sources
PubMed1976

[Current aspects of ambulatory anesthesia for otorhinolaryngologic and stomatologic surgery in France].

Ambulatory anaesthesia is becoming more popular in France for several reasons: -for humanitory reasons and greater comfort, -for reasons of economy in hospital, -professional responsibility and insurance. This change has been made possible by: -techniques of anaesthesia using drugs which are eliminated rapidly without any rebound phenomenon, -medical attitudes, such as prior examination of the patient by an anesthetist; this is much better than a rapid examination at night or in the morning on admission of the patient, thus precise control of awakening by tests of psychomotor activity. -changes in hospital structure, e.g. post-anaesthetic awakening wards with specialised personnel. Anonymous questionnaires were sent out to O.R.L. surgeons and French oral surgeons, we received 38.5% replies: -51.75% never used ambulatory anaesthesia, -48.25% used ambulatory anaesthesia almost always in hospital with a recovery room and anaesthetic consultation. Admission to hospital for one day seems rarer. It thus appears that ambulatory anaesthesia is becoming common in France and that more than 50% of surgeons remain opposed to this technique.

Anesthesia, Dental↗
PubMed1999

[Cytotoxicity tests of stomatologic materials on cell cultures].

Authors compare the benefits and drawbacks of agar diffusion tests (with neutral red and with thiazolyl blue) and the filter diffusion test recommended as the standards for cytotoxicity testing of dental materials and their eluates. It seems that there are no differences between these diffusion tests after the treatment for 24 hours. Authors discuss the observed differences in the toxicity between a solid form of the material (ANA 2000 DUO, Evicrol Solar LC) and its eluate.

Animals↗
PubMed2000

[Medical risk and liability in stomatology in the year 2000].

In the current context of scientific progress, the evolution of medical liability is directly related to the increasing potential danger of medical procedures, the widening field of medical intervention, the growing concern about becoming a victim, and the changing notions about responsibility. We present here recent changes in administrative and legal jurisprudence. As administrative instances have progressively acquired more and more freedom of action, they have successively accepted hypotheses of presumed misconduct, abandoned the prerequisite of major misconduct, and allowed cases of liability without misconduct. The attitudes of legal instances remained unchanged for a long period before developing the concept of lost opportunity, then the presumption of misconduct in the case of nosocomial infections, and more recently, the notions of prejudice resulting from lack of information and the obligation for safe outcome accessory to the obligation to use available means. The future remains quite uncertain. One can expect a convergence between administrative and judiciary judges. For many, this unification will lead to a desirable "block of competency". We are probably moving towards the notion of objective responsibility which would allow indemnities to be awarded for medical accidents, but leaving open the possibility of court action for misconduct. The question remains open concerning the modalities of implementation: legislation or jurisprudence with its inherent risks.

France↗
PubMedDate not supplied

Disseminated form of Langerhans cell histiocytosis discovered in stomatological examination--a case report.

Langerhans cell histiocytosis (LCH) is a disease involving formation of granulomatous infiltrations consisting of Langerhans cells, histiocytes, lymphocytes and eosinophilic granulocytes. Etiopathogenesis of this disease has not been fully clarified yet. It can present as a focal and disseminated form (acute and chronic). Rare incidence of this disease in the population causes progress in research and new therapeutic methods to be slow. Basing upon a case of a patient treated for gingivo-osseous lesions in the course of LCH, we tried to prove that a dental or maxillofacial surgeon may be the first contact medical professional who contributes to the diagnosis of LCH as a systemic disease.

Alveolar Process↗
PubMed2000

[Mandibular fractures. Retrospective study of the experience of the Department of Maxillo-facial Surgery and Stomatology of the University of Poitiers Medical Center from 1978 to 1997].

Orthopedic or surgical repair is proposed for mandibular fractures, depending on schools and experience. We reviewed retrospectively 632 cases of mandibular fracture treated at the Poitiers University department of maxillofacial surgery between 1978 and 1997 to assess methods and outcome. We performed a global analysis and compared certain localizations with statistical tests. Different therapeutic protocols were used. The rate of complication was greater, for an equivalent initial lesion, with surgical compared with medical treatment. This was particularly true for fractures involving the jaw angle. There was no significant correlation between trauma-induced malocclusions and orthopedic or surgical preferences of the operators. Surgery did not lead to more sequelae than other techniques but did require a rigorous technique and surgical experience to limit complications. Joint fractures were associated with a high rate of complications, whatever the therapeutic method.

Adolescent↗
PubMed2001

[Some stomatologic health problems in elderly persons].

The year 1999 was acclaimed The Year of Ripe Age by WHO. On account of this, attention should be paid to problems related to changes within the oral cavity tissues, mandibular and circummandibular bones, which progress together with the process of ageing. These changes may be due to physiological involutional processes or due to increasing tendencies towards various pathological changes. In general opinion the loss of teeth, which do not need to be treated, is the end of basic diseases and dental problems only concern prosthetic supplements. Obligatory, periodic dental examinations are not imposed on the population of old people. Thus, the only possibility of early diagnosis of morbid processes within tissue structures of the oral cavity, is general examination including a detailed inspection of the oral cavity, even if the patient does not complain about any indisposition.

Aged↗