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PubMed1994

[Tooth extraction under ether anesthesia in 1847].

The newspaper "Ungar" edited in Pest, publishes a satirical drawing in 1847. This publication proves, that aether-narcosis--first employed in North-America autumn 1846--was known in spring 1847 already in Hungary too.

Anesthesia, Dental↗
PubMed1990

[Phantom pain also following tooth extractions?].

The phantom phenomena affecting the extremities also seem to appear after dental extractions. Non-painful perceptions are more frequently observed than painful ones, and young people are more often affected that the elderly. The theories that postulate a central genesis would appear to be more likely than the explanation involving peripheral stimulation.

Humans↗
PubMed1988

[Influence of tooth extraction on the CT level in plasma. Influence on the plasma Ca-P levels during the postextraction healing after CT administration].

The constant concentration of calcium ions (Ca2+) in the extracellular fluids can be maintained by two mechanisms; the local and the hormonal one. In the case of the local, a potential Ca2+ balance is achieved between the extracellular space on the one hand and the bones and intertine on the other hand, which may come to concentrations of 7 mg/100 ml. The complete settlement of the Ca2+ level up to the normal limits of 9-11 mg/100 ml of plasma, is achieved by the action of the hormonal mechanism. This acts through a negative ruccessive muctual control. The hormonal mechanism includes the action of basically two hormones, the parathormone (PTH) and the calcitonine (CT). The first one is secreted when the Ca2+ level in plasma decreases, causing the increase of the renal tubular reabsorption of Ca2+, the release of Ca2+, due to the increased absorption in bones and the increased intestinal Ca2+ absorption. By that way the Ca2+ normal level in plasma is resettled. On the other hand, in case of an increase of the Ca2+ level in plasma, the excretion of PTH is restrained whereas CT is secreted, which favours the deposition of Ca2+ on bones restricting their absorption at the same time. In several cases, when there is an organic inability of resettling any change of the Ca2+ balance due to the malfunction of the hormonal mechanism, various drugs are being given for treating the disease. The balance, being achieved this way, may be overtured by several factors such as bone fractures as it has been observed experimentally, and may cause the increase of the Ca2+ concentration in plasma. In the present experimental study, the possibility of a proportional increase in the secretion of the CT after a simple and surgical extraction has been investigated. The possibility of an alteration of the Calcium and Posphate levels in plasma after the supply of CT during certain intervals has also been investigated. The results showed that the extraction does not change the CT levels in plasma. On the other hand the Ca2+ and P levels, are not affected by the external supply of CT, for reasons which are being discussed in the present paper.

Calcitonin↗
PubMed1976

[Bacteremia following tooth extractions].

A study was made of the incidence and nature of bacteremia occuring after extractions in a group of 189 patients hospitalised in the maxillo-facial surfery department of Iassy. The figure of 65.5% positive blood cultures demonstrates the particular role of dental extraction in the pathogenesis of bacterial endocarditis. Antibiotic sensitivity studies of streptococci, the bacteria isolated most frequently, showed their remarkable sensitivity to penicillin and erythromycin (95.9%) and their remarkable resistance to streptomycin (83.8%). This would indicate penicillin to be the antibiotic of choice in the treatment of post-extraction bacteraemia, replaced by erythromycin in individuals allergic to penicillin. Study of the relationship between the incidence of bacteraemia and the number of teeth extracted indicates the possibility of grouping several extractions at the same session, thereby reducing the period of administration of antibiotics as a "cover". As far as the type of anaesthesia, local or general, was concerned, the higher level of post-extractional bacteraemia in patients who had received a general anaesthetic suggests that loco-regional anaesthesia should be the method of choice.

Ampicillin↗
PubMed2004

[New routines makes tooth extraction possible during warfarin treatment].

We conclude that it is possible to successfully extract teeth without interrupting or reducing the dose of anticoagulant medication with warfarin. We also conclude that patients with anticoagulant medication are treated differently depending on where they have their dental treatment done.

Anticoagulants↗
PubMed1990

[Tooth extraction on diabetic patients].

Performing extractions on diabetic patients is a complicated problem, which is connected with the type of diabetes and the various complications related to this disease. The main concern is to avoid acute incidents hyper or sub-glycemic comas during the operation and to secure a smooth post- operational course, namely an undisturbed post- extracture healing. In this study, 80 diabetic patients who came for extractions to the escodental department were divided into two categories: patients suffering from diabetes type I and patients suffering from diabetes type II. On the arrival of all patients, the contents of glycose in blood and acetone in urine were measured, and depending on the respective results patients of the first category were classified into three groups and patients of the second category were classified into four groups. Along with the normal measures usually taken for diabetic patients, specific instructions were given for the groups of each category, in order to prevent hyper- or sub-glycaminate incidents, during the operation. Proper instructions were further given for those patients, who had history chronical complications from diabetes. Extractions based on th method of classifying the patients into the above mentioned categories and groups have presented no complications whatever in our study.

Adolescent↗
PubMedDate not supplied

Psychophysical pain control during tooth extraction.

A case of a patient with multiple allergies to local anesthesia and who required extraction of a maxillary canine is reported. The patient used her psychophysical capabilities to control the pain and anxiety associated with the surgery. A discussion of psychophysical pain control is presented.

Aged↗
PubMed1990

The use of general anaesthesia for tooth extraction for child out-patients at a London dental hospital.

General anaesthesia in the dental chair carries a significant risk. Nevertheless, it has been widely used for the extraction of teeth for well over 100 years. Despite a decline in its use in general practice and the community dental services, a large proportion of children do have experience of extractions under general anaesthesia. A total of 3623 children had extractions as out-patients using this method at the hospital during the 2-year period of 1987 and 1988. The mean age of a sample of 836 children drawn from this population was 6.99 years (+/- 3.09 years). The mean number of teeth extracted per child was 4.14 (+/- 2.0). The effects of caries formed the reason for extractions in nearly 95% of children aged 9 years or less. Amongst those aged 10 years or more, 51% of extractions were for orthodontic purposes. Fewer (2970) children had received the same form of treatment during the earlier 2-year period of 1982 and 1983. The mean age of children treated more recently was lower and the mean number of teeth extracted per child had increased. The need continues for facilities to provide this relatively simple form of treatment for children.

Adolescent↗
PubMed1989

[Tooth extraction in a case of thrombasthenia].

Thrombasthenia is a congenital platelet disorder characterized by the normal platelet count, prolonged bleedingtime, absence of platelet aggregation and defective clot retraction. Clinically, purpura, epistaxis, gingival bleeding and excessive bleeding after minor injuries or operations are the main manifestations. We experienced a case of a 15-year-old boy suffering from thrombasthenia required extraction of 6/6. The problems of nature of the disease and its familial character are described and the problems of management are outlined.

Adolescent↗
PubMedDate not supplied

Glanzmann's thrombasthenia: the use of autologous fibrin glue in tooth extractions.

Three teeth were extracted in three sessions in a 15-year-old girl with Glanzmann's thrombasthenia who suffered in the past severe bleeding and required platelet transfusions. The extraction sites were treated locally with autologous fibrin glue in adjunct of tranexamic acid swish and swallow rinses. No systemic platelet infusion was employed as a preventive measure. No postoperative bleeding occurred.

Adolescent↗
PubMed1994

[Lesion of the lingual nerve after tooth extraction].

A case of tongue anesthesia after removal of the lower third molar was observed. This type of lingual nerve injury is often unrecognized by the neurologist. Good knowledge of the anatomy and examination techniques are necessary to help the surgeon in the management of the patient.

Cranial Nerve Diseases↗
PubMed1975

Mandibular anesthesia and tooth extraction in the bottlenosed dolphin.

Anatomical dissections were done to show the innervation of the teeth and mandible of the bottlenosed dolphin (Turslops truncatus). Using structural landmarks, a method has been devised for anesthetizing the lower jaw. With this procedure teeth can be extracted and age determined by counting dentine layers in sections of etched teeth. Animals of the most desirable ages can thus be selected and the ages of animals already in captivity can be determined.

Age Determination by Teeth↗
PubMedDate not supplied

The use of general anaesthesia for tooth extraction in children in London: a multi-centre study.

Following publication of the Poswillo report, the continued use of general anaesthesia in dentistry became the subject of a major debate. In particular, the provision of general anaesthetic services by general dental practitioners in order to carry out simple extractions for child patients has been called into question. Other authors have strongly supported the continued need for general anaesthesia and insist that for some patients it remains the technique of choice. There is, however, little evidence of current patterns of attendance from which argument may be advanced to support or refute the differing views. In this study data was drawn from three London dental teaching hospitals providing out-patient general anaesthesia for extractions. During the 12-month period investigated 7852 general anaesthetics had been administered for child patients. There was evidence of an increase in numbers at one centre when results were compared to those of a previous study and some evidence of a change in pattern of referral with time at the same centre, with an increase in the numbers of patients referred by general dental practitioners. Eighty-three per cent of the anaesthetics had been given for the extraction of carious primary teeth, with an average of 3.3 being extracted per child. Nearly one-third of the anaesthetics were for children under the age of 5 years.

Analysis of Variance↗
PubMed1998

[Some specific aspects of dentistry's professional responsibility: tooth extraction surgery, prosthodontics, implantology and HIV infection].

In the last decades the problem of professional responsibility of the doctors went through deep conceptual re-examination. Some criteria, both general and more technically legal, are presented in order to correctly evaluate the professional liability. Then some specific aspects of the object are examined, such as the damaging of the inferior alveolar nerve after dental extraction, the problems concerning dental prosthetics and implants as well as the questions about HIV infection, acquired by patients or collaborators of the dentist, in his office.

Dental Implantation↗