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PubMed1998

Electroneurographic investigation of the mandibular nerve in lingual neuropathy.

We developed a method for determination of motor conduction along the mandibular and sensory conduction along the lingual and inferior alveolar nerves in 10 controls and 6 patients with lingual neuropathy following lower wisdom tooth extraction. Patients with lingual neuropathy had reduced/absent or delayed compound sensory action potentials and normal conduction along the fibers of the inferior alveolar nerve and mandibular nerve. The method provides a useful electrophysiological means of evaluating lingual nerve lesions.

Adult↗
PubMed1993

Complications of dental surgery in persons with HIV disease.

Post tooth extraction infective complications have occasionally been described in HIV-infected persons. However, there is little objective data as to the frequency of this and the need for antibiotic prophylaxis. Similarly the frequency of postextraction bleeding in patients infected with HIV, who may have thrombocytopenia, is unknown. In the present study the frequency of postextraction complications has been investigated in a group of 38 persons at stages 2 to 4 of HIV infection and 26 matched subjects from patients groups commonly at risk of HIV infection but not seropositive. During 40 clinical procedures in HIV-infected patients, 100 (range 1 to 23, median 1) teeth were extracted. Three episodes of delayed postextraction healing were recorded. During 30 procedures in the non-HIV-infected persons, 68 (range 1 to 5, median, 2) teeth were extracted, and two episodes of delayed postextraction healing were recorded. These differences were not significant. Only one HIV-infected patient had an episode of severe postextraction bleeding: this was a hemophiliac who bled despite receiving factor VIII prophylaxis. The bleeding occurred 7 days after the extraction and ceased with tranexamic acid and additional factor VIII. No control subject had severe postextraction hemorrhage. It is concluded that postextraction complications are uncommon in HIV-infected patients and that routine antibiotic prophylaxis is not indicated.

Adult↗
PubMed1992

Postextraction hemostasis in patients on anticoagulant therapy: the use of a fibrin sealant.

A simple and safe method of achieving hemostasis after tooth extraction in patients on anticoagulant therapy is described. The use of a tissue sealant turns a complicated, difficult, and risky dental procedure into a simple one, suitable for any dental clinic. Sixty-one teeth were extracted in 23 sessions. Only four cases of very slight postsurgical bleeding were reported. Dental treatment of the majority of these medically compromised people can be performed by private practitioners, without referring the patients to specialty care centers.

Adult↗
PubMedDate not supplied

Odontogenic origin of necrotizing fasciitis of head and neck - a case report.

UNLABELLED: Necrotizing fasciitis (NF) of head and neck is a fulminant infection associated with necrosis of connective tissue which spreads along the fascial planes with high mortality rate. It is usually polymicrobial, odontogenic and occurs more frequently in immunocompromised patients. Because of the rarity of the disease, early diagnosis and early management is often delayed. We present a diabetic patient who developed NF of head and neck following tooth extraction. Because of vigorous teamwork he could be saved from the fatal disease but required extensive plastic repair. Every clinician should be aware of such a disease, particularly in immunocompromised patients and necessitates earliest diagnosis and intervention to save their life. KEYWORDS: Necrotizing fasciitis, necrotizing soft tissue infections.

Adult↗
PubMed1983

[The problem of factor VIII inhibitors in patients with congenital coagulopathies].

It is reported on a 19-year-old patient with haemophilia A, in whom after a tooth extraction haemorrhages developed which could not be commanded. Factor-VIII-inhibitors could be proved qualitatively and quantitatively. As prospective for the therapy proved to be the administration of activated prothrombin complex preparations (FEIBA). The haemorrhages stopped, the partial thromboplastin time shortened. After three weeks the patient could be dismissed from hospital treatment.

Adult↗
PubMedDate not supplied

Survival of 1,920 IMZ implants followed for up to 100 months.

A total of 1,920 IMZ implants, placed between March 1984 and December 1993, were evaluated retrospectively. The Kaplan-Meier cumulative survival rate of the implants was 89.9% after 60 months and 83.2% after 100 months. Life table analysis revealed a statistically significantly lower cumulative survival rate for maxillary implants (71.6% at 60 months and 37.9% at 100 months) than for mandibular implants (90.4% at 100 months). Implants placed in the anterior region of the maxilla failed significantly more often than those placed in the posterior region. This was not observed in the mandible. The age and sex of the patients, the status of the jaw (edentulous, partially edentulous), the time of implant placement in relation to tooth extraction, and the length and diameter of the implants had no statistically significant influence on the cumulative survival rate.

Adult↗
PubMed1993

Sinus obliteration for chronic oro-antral fistula: a case report.

This report describes a patient with chronic oro-antral fistula resulting from tooth extraction. Several local flap procedures failed to close the fistula, which was complicated by chronic sinusitis. Ultimately, cure was achieved via antral obliteration using vascularised temporoparietal fascia, sparing remaining maxillary alveolar bone. Total, trans-buccal maxillary sinus obliteration with fascia should be considered for the treatment of oro-antral communications refractory to treatment with intraoral tissues.

Chronic Disease↗
PubMed2002

Putting science into practice: the clinical translation of medical approaches.

Proving a relationship between inflammatory periodontal disease and systemic disease will bring significant changes to the average periodontal practice. First, there will be a time of confusion with competing ideas and techniques. Determination of acceptable levels of inflammation will bring an end to the discussion. As this transition occurs, patients will need to be kept as current as possible without being unnecessarily alarmed. The average periodontal practice will shift its emphasis toward controlling inflammation. Initially, this will mean more periodontal surgery, more tooth extraction, and more implant placement. In the long run, periodontal disease may be treated by the patient with anti-inflammatory medications; by the general dentist with local therapy including antibiotics and anti-inflammatory medications, advanced nonsurgical techniques, and surgery; and, less frequently, by the periodontist.

Anti-Bacterial Agents↗
PubMed1997

Preoperative prophylaxis for C1 esterase-inhibitor deficiency in patients undergoing oral surgery: a report of three cases.

C1-inhibitor deficiency, or hereditary angioedema, is a genetic disorder characterized by recurrent circumscribed, nonpruritic, nonpitting subepithelial edema. Minor trauma to the tissue, such as tooth extraction, can trigger life-threatening laryngeal edema. The use of fresh frozen plasma and/or danazol before treatment prevents angioedema attacks. A critical review of the treatment regimen and prophylaxis for C1-inhibitor deficiency is presented, and three new cases are described.

Adult↗
PubMed1975

Clinical studies on diabetes mellitus and diseases of the oral region.

Of the 25,672 patients who visited this clinic between January 1964 and March 1973, 126 were diabetic. These were examined statistically and the following results were obtained. 1. Together with diabetes the following disorders pertaining to the realm of oral surgery were observed: Alveolar pyorrhea (49 cases), infection of oral tissues other than periodontal tissues (24 cases), simple periodontitis (15 cases), tumors (13 cases), dental caries (9 cases), neuralgia (6 cases) and several disorders. 2. Of these 126 cases, 85 needed tooth extraction, which was actually performed in 67 cases with the following results: (a) Of the 67 cases, 13 developed complications such as dry socket, postoperative infection, sequestrum around the extraction socket, etc. This was a significantly higher incidence than in an equal number of controls. (b) In the cases with complications convalescence was prolonged to an average of 54.2 days. (c) In the cases with complications, the preoperative fasting blood sugar level averaged 194.5 mg/dl, which was much higher than in the cases which did not develop complications (average 142.4 mg/dl).

Diabetes Complications↗
PubMed2000

Repeat general anaesthesia for paediatric dentistry.

AIMS: To investigate patterns of referral, disease and treatment for healthy children who had received two or more dental general anaesthetics (DGA) for exodontia. METHODS: Records from 200 episodes of repeat DGA were studied retrospectively. RESULTS: The mean age of patients at first referral was 5y4m, and the mean interval before repeat was 22 months. Self-referrals rose from 14% at DGA1 to 30% at DGA2. New caries at second referral, where all diagnosed disease had been treated at DGA1, accounted for only 15% of the total. Where a specific request was made in the referral, only 8% of letters matched the charting made in hospital. 30% of all specific requests were honoured, but then required treatment for previously diagnosed caries at DGA2.75% of single-tooth extractions required repeat DGA for caries left at DGA1. CONCLUSIONS: It may be too optimistic to address only the most grossly diseased teeth when a child requires GA exodontia. A more radical treatment-planning approach, combining primary care, secondary care and public health considerations, may be required to avoid the unnecessary use of DGA.

Anesthesia, Dental↗
PubMed1985

Alveolar wound healing alteration under uranyl nitrate intoxication.

The deposit of uranium compounds in calcifying zones has been demonstrated in bone. Nevertheless, no studies on the effect of uranium on osteogenesis have been performed. A histologic and histometric study of the effect of a single intraperitoneal injection of 2 mg/kg of body weight of uranyl nitrate on bone formation is presented. It was performed on rats' healing sockets, 14 days after tooth extraction. The alveolar bone volume (15 X 10(5) micron vs. 34 X 10(5) micron2), total bone formation areas (4.85% vs. 19.55%), and volume density of bone in the alveolar apical third (0.26 vs. 0.40) were significantly lower in intoxicated animals than in the controls. These results indicate the inhibitory effect of uranyl nitrate on bone formation.

Alveolar Process↗
PubMed1999

Diffuse acute cellulitis with severe neurological sequelae. A clinical case.

The incidence of head and neck odontogenic infections considerably diminished in the last decades due to appropriate antibiotic therapy. Herein we describe a case of acute diffuse facial cellulitis following tooth extraction in a patient with no apparent risk factor. During the acute process, injury was caused to the hypoglossal, vagal, glossopharyngeal and recurrent nerves of both sides. For this reason the patient currently has a nasogastric line for enteral feedings and a tracheotomy tube, which significantly affects his quality of life.

Cellulitis↗
PubMed1978

[Dental local anesthesia in patients with diabetes mellitus].

In 51 tooth extractions in medicinally controlled diabetics, adrenaline and noradrenaline (used as vasoconstricting additives to the local anaesthetic) did not differ in their effects on the blood-sugar level. A clinically important or lasting disturbance of the carbohydrate metabolism was observed in no case. The general preference given to noradrenaline as a vasoconstrictor in diabetics is not supported by the present study.

Anesthesia, Dental↗
PubMed1994

Replacement of missing molar teeth--a prosthodontic dilemma.

In deciding whether to replace lost lower molar teeth with a denture or accept the status quo, the dentist is faced with a choice of equally unfavourable alternatives. Dentures tend to accumulate plaque, the main cause of periodontal destruction, but failure to provide a prosthesis may also disadvantage the patient. Whether or not the provision of a replacement partial denture following molar tooth extraction helps to maintain the periodontium of the remaining dentition is not known. Patients are also aware of the dilemma. Many surveys have shown that a large proportion of replacement lower, free-end saddle dentures are never worn. However, a failure to provide partial dentures may have many adverse effects, especially in young adults.

Adaptation, Physiological↗
PubMed2003

Clinical management and control of alveolalgia ("dry socket") with vitamin C.

PURPOSE: To monitor the incidence of dry socket in a sample of 696 consecutive tooth extraction patients and to test the possible therapeutic effects of vitamin C. MATERIALS AND METHODS: Following standardized extractions, 24 dry socket patients were provided 4,000 mg/day dosages of Vitamin C. Demographic and health history data were collected. RESULTS: The occurrence of dry socket (3.5% overall) was greater in females and individuals with lower overall health status, and supplemental Vitamin C was associated with rapid recovery.

Adolescent↗
PubMed2005

Micromonas (Peptostreptococcus) micros: unusual case of prosthetic joint infection associated with dental procedures.

Micromonas (Peptostreptococcus) micros is frequently associated with periodontal disease as well as respiratory, gastrointestinal and female genitourinary tract infections, but only rarely has been reported as a pathogenic agent of prosthetic joint infections. Here we describe a case of a 63-year-old woman with prosthetic joint infection of total hip arthroplasty caused by the anaerobic species Micromonas micros, associated with tooth extraction. Samples obtained intraoperatively and from the oral cavity were positive for the presence of M. micros by culture and by real-time PCR. This case report indicates that infections of prosthetic joints can be associated with dental procedures and that sensitive molecular techniques are necessary for their routine diagnostic.

Aged↗
PubMed1994

[I'm completely sure about this. An essay about the discovery of anesthesia by Horacio Wells].

Dr. Leonard Menczer developped during nine years a world-wide campaign to obtain from his country's Post Service the emission of a commemorative stamp honoring Horacio Wells, in occasion to remember the 150 anniversary of the first application for a tooth extraction of anesthesy by means of gases. This brave and noble attitude in order to regain Wells' merits, serves us as an example of perseverance, conviction and deep love for the taken cause. Respect and admiration by this colleagues because the results of this attitude. In this article he summarizes his position and defends in an indisputable way Wells and his right having been the first in using anesthesy by means of gases.

Anesthesia, Dental↗