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Oral lesions in 166 patients with cutaneous psoriasis: A controlled study

COSTA, Soraya C.; HIROTA, Silvio K.; TAKAHASHI, Maria Denise F.; ANDRADE JR., Heitor; MIGLIARI, Dante A.
Fonte: MEDICINA ORAL S L Publicador: MEDICINA ORAL S L
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
45.95%
Objectives. This study was aimed to test if the frequency of oral lesions bears statistical correlation or not with the condition of cutaneous psoriasis. Study design. Two groups were examined, one made up of 166 patients with skin psoriasis and the other with the same number of individuals with a negative history of skin diseases (control group), matched by age, race, and sex. Patients with psoriasis were grouped according to their having localized or generalized forms of the disease. The oral mucosa was thoroughly examined in both groups. Data were analyzed using chi-square test, Fisher`s test, the odds ratio (OR) with a 95% confidence interval (CI), and the Ryan-Holm step-down Bonferroni procedure. The overall significance was set at P <= 0.05. Results. The oral lesions significantly associated with psoriasis were fissured tongue (FT, OR=2.7; 95% CI: 1.3-5.6), and geographic tongue (GT, OR=5.0; 95% CI: 1.5-16.8). Other factors analyzed, such as topical and/or systemic medication for treatment of psoriasis versus nontreated patients, and localized versus generalized forms of psoriasis presented no statistical association with the frequency of FT or GT lesions (P > 0.05). Conclusions. Patients with psoriasis presented no specific oral lesion different from those seen in the control group. Although further investigation is warranted to establish whether or not either FT or GT can be characterized as an oral expression of psoriasis...

Leprosy-specific oral lesions: A report of three cases

MOTTA, Ana Carolina F.; KOMESU, Marilena C.; SILVA, Claudia Helena Lovato; ARRUDA, Darlene; SIMAO, Joao Carlos Lopes; ZENHA, Erika Muller Ramalho; FURINI, Renata Bazan; FOSS, Norma T.
Fonte: MEDICINA ORAL S L Publicador: MEDICINA ORAL S L
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
45.95%
Leprosy is a chronic infection caused by Mycobacterium leprae, a bacillus that presents a peculiar tropism for the skin and peripheral nerves. The clinical spectrum of leprosy ranges from the tuberculoid form (TT) to the disseminative and progressive lepromatous form (LL). Oral lesions are rare but, when present, occur in the lepromatous form. This article describes the clinical and microscopic findings of three cases of LL with oral manifestations. All patients had the lepromatous form and their leprosy-specific oral lesions occurred in the palate. The diagnosis was based on clinical, serological and histopathological findings, and multidrug therapy for multibacillary leprosy was started and continued for 24 months. All patients completed treatment, but developed reaction episodes which were treated with prednisone and/or thalidomide. The authors emphasize the importance of oral mucosa evaluation by a dental health professional during patient care since oral lesions may act as a source of infection.; CNPq Conselho Nacional de Desenvolvimento Cientifico e Tecnologico

Oral lesions in HIV infected individuals from Ribeirao Preto, Brazil

LOURENCO, Alan Grupioni; FIGUEIREDO, Luiz Tadeu Moraes
Fonte: MEDICINA ORAL S L Publicador: MEDICINA ORAL S L
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
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Objectives: The aim of this study was to diagnosis oral lesions related to HIV infection in individuals followed in the General Hospital of the School of Medicine of Ribeirao Preto, University of Sao Paulo, Brazil. The presence of oral lesions was correlated with gender, age, smoking habit, levels of CD4 lymphocytes, HIV load, time of HIV seropositivity, AIDS condition, use of removable dental prosthesis, and use of HAART. Materials and Methods: 340 HIV infected individuals were selected for this study, all participants of the study were examined by only one practiced dentist which performed anamnesis, peribuccal and oral examination. Results: Oral lesions were observed in 113 of 340 (33.2%) HIV infected individuals. These oral lesions included: oral candidiasis (17.7%) of pseudomembranous (10.8%) and of erythematous types (6.9%), angular cheilitis (13.9%), hairy leukoplakia (11.8%), and oral ulcers (2.1%). Oral candidiasis lesions were more frequently observed in women (p. 033). Smoking addict participants presented a high frequency of tongue hairy leukoplakia (p. 038) and a reduced frequency of oral ulcers (p. 018). Hairy leukoplakia and pseudomembranous candidiasis were inversely correlated to CD4+ L levels and directly correlated with HIV load...

Fibronectin as an adjuvant in the diagnosis of oral inflammatory myofibroblastic tumor

XAVIER, Flavia-Calo-Aquino; ROCHA, Andre-Caroli; SUGAYA, Norberto-Nobuo; SANTOS-PINTO JR., Decio dos; SOUSA, Suzana-Cantanhede-Orsini-Machado de
Fonte: MEDICINA ORAL S L Publicador: MEDICINA ORAL S L
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
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Inflammatory myofibroblastic tumor is a distinctive lesion composed of myofibroblastic spindle shaped cells accompanied by inflammatory infiltrate that may arise in various organs. It is believed to be a noneoplastic inflammatory condition, although this is still controversial. The recognition of inflammatory myofibroblastic tumor as an entity is important especially to avoid unnecessary surgery. A few cases have been reported in the oral cavity. This report primarily presents a case of inflammatory myofibroblastic tumor that arose in the floor of mouth of a 23-year-old woman. The proliferating spindle cells were immunoreactive for vimentin, smooth muscle actin, and muscle specific actin and negative for desmin, AE1/AE3, S-100, CD68, MyoD1 and caldesmon. In an attempt to assess the potential neoplastic nature of this lesion, immunohistochemical expression of ALK protein was performed, although no immunoreactivity was detected. Also, the presence of well differentiated myofibroblasts identified by fibronectin is discussed, as well as the importance in establishing an immunoprofile to better consolidate the diagnosis. We conclude that the study of fibronectin in case series may aid the diagnosis as well as the prediction of the tumor course.

Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal; Systemic consequences of bariatric surgery and its repercussions on oral health

Moura-Grec, Patrícia Garcia; Assis, Vivian Helena; Cannabrava, Vanessa Pavoni; Vieira, Vanessa Maira; Siqueira, Thalissa Laís Donalonso; Anaguizawa, Wellington Hideaki; Sales-Peres, Silvia Helena de Carvalho
Fonte: Colégio Brasileiro de Cirurgia Digestiva Publicador: Colégio Brasileiro de Cirurgia Digestiva
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
45.95%
INTRODUÇÃO: O controle da obesidade mórbida pode ser realizado através da cirurgia bariátrica que leva à restrição e/ou à má-absorção de alimentos. O objetivo dessa revisão foi identificar consequências desse procedimento e suas repercussões na saúde bucal. MÉTODO: Foi realizada busca na Biblioteca Virtual em Saúde, sendo incluídos artigos com relação direta ou indireta entre cirurgia bariátrica e saúde bucal e publicados nos últimos dez anos. RESULTADOS: Verificaram-se algumas complicações decorrentes dessa operação, como regurgitação crônica e deficiências nutricionais, que podem trazer repercussões na cavidade bucal como erosão dentária, perda óssea e cárie dentária. Por outro lado, existem consequências positivas como controle da diabetes, da apnéia e melhora da auto-estima, que tornam os pacientes menos susceptíveis à complicações na cavidade oral, como xerostomia e doença periodontal. CONCLUSÃO: A manutenção da saúde bucal adequada em pacientes submetidos à cirurgia bariátrica contribui para o sucesso após a operação, resguardando os benefícios e minimizando os efeitos colaterais.

Monitorização da glicemia em tempo real durante cirurgia odontológica ambulatorial em portadores de diabetes mellitus tipo 2: estudo comparativo entre anestésico local sem e com vasoconstritor; Glucose monitoring in real time during outpatient dental surgery in patients with type 2 diabetes mellitus: a comparative study of local anesthetics with and without epinephrine

Santos, Marcela Alves dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 10/10/2013 PT
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INTRODUÇÃO: A segurança da administração de anestésicos locais com vasoconstritor em pacientes diabéticos submetidos à cirurgia oral não está bem fundamentada na literatura. OBJETIVO: Investigar a ocorrência de variação da glicemia nos períodos pré, trans e pós-operatório de exodontia de dentes superiores, sob anestesia local com lidocaína 2% sem e com adrenalina 1:100.000, em portadores de diabetes mellitus tipo 2. Secundariamente, avaliar os efeitos hemodinâmicos e o grau de ansiedade. MÉTODOS: Estudo prospectivo e randomizado com pacientes portadores de diabetes acompanhados na Unidade Clinica de Coronariopatia Crônica do Instituto do Coração do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo. A monitorização contínua da glicemia durante 24 horas foi realizada através do MiniMed Continuous Glucose Monitoring System (CGMS, Medtronic). Os pacientes foram divididos em dois grupos: LSA - que recebeu 5,4 mL lidocaína 2% sem adrenalina e LCA - que recebeu 5,4 mL de lidocaína 2% com adrenalina 1:100.000. Os níveis de glicemia foram avaliados nas 24 horas (período basal) e nos tempos determinados: uma hora antes, durantes e até uma hora após a exodontia (período de procedimento). Os parâmetros hemodinâmicos foram avaliados por meio de um medidor de pressão arterial digital automático e o nível de ansiedade através de uma escala. RESULTADOS: Dos 400 pacientes avaliados...

Use of etoricoxib and dexamethasone for postoperative pain prevention and control in mucogingival surgery: a randomized parallel double-blind clinical trial

Zardo,Ligia Nadal; Santos,Fábio André dos; Pilatti,Gibson Luiz
Fonte: Faculdade de Odontologia de Piracicaba - UNICAMP Publicador: Faculdade de Odontologia de Piracicaba - UNICAMP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2013 EN
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AIM: To compare the use of etoricoxib and dexamethasone for postoperative pain prevention and control after mucogingival surgery. METHODS: Fifty-eight patients with indication for mucogingival surgery took part in this randomized parallel double-blind clinical trial. They were divided into three groups (G): G1 - placebo 1 h before surgery; G2 - 8 mg dexamethasone 1 h before surgery; G3 - 90 mg etoricoxib 1 h before surgery. Pain intensity was assessed in donor and recipient sites separately using the 101-point numerical rating scale NRS - 101, every hour for the first 8 h after surgery and three times a day on the following 3 days. RESULTS: there was a statistically significant difference in the postoperative pain intensity in the donor site between G1 and G3 after 1 h, 2 h, 3 h, 7 h, 8 h and on the second day - in the evening after 32 h; between G1 and G2 after 2 h and 3 h, and between G2 and G3 only after the first hour. Pain intensity in the recipient site was statistically significant between G1 and G3 after 1 and 2 h (p<0.05). In addition, there was a lower ingestion of rescue medication in G2 and in G3 than in G1 (p=0.002). CONCLUSIONS: the use of a pre-emptive single dose of etoricoxib or dexamethasone may be considered an effective protocol for postoperative pain prevention and control after mucogingival surgery.

Practice activity trends among oral and maxillofacial surgeons in Australia

Brennan, D.; Spencer, A.; Singh, K.; Teusner, D.; Goss, A.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
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BACKGROUND: The aim of this study was to describe practice activity trends among oral and maxillofacial surgeons in Australia over time. METHODS: All registered oral and maxillofacial surgeons in Australia were surveyed in 1990 and 2000 using mailed self-complete questionnaires. RESULTS: Data were available from 79 surgeons from 1990 (response rate = 73.8%) and 116 surgeons from 2000 (response rate = 65.1%). The rate of provision of services per visit changed over time with increased rates observed overall (from 1.43 ± 0.05 services per visit in 1990 to 1.66 ± 0.06 services per visit in 2000), reflecting increases in pathology and reconstructive surgery. No change over time was observed in the provision of services per year (4,521 ± 286 services per year in 1990 and 4,503 ± 367 services per year in 2000). Time devoted to work showed no significant change over time (1,682 ± 75 hours per year in 1990 and 1,681 ± 94 hours per year in 2000), while the number of visits per week declined (70 ± 4 visits per week in 1990 to 58 ± 4 visits per week in 2000). CONCLUSIONS: The apparent stability in the volume of services provided per year reflected a counterbalancing of increased services provided per visit and a decrease in the number of visits supplied.; David S Brennan...

Continuing education for oral and maxillofacial surgeons - new expectations

Sambrook, P.; Goss, A.
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Artigo de Revista Científica
Publicado em //1996 EN
Relevância na Pesquisa
45.99%
The Continuing Education (CE) activity of all members of the Section of Oral and Maxillofacial Surgery (OMFS) of the Royal Australasian College of Dental Surgeons (RACDS) for 1994 was surveyed. There was an 78.1 per cent response rate. The total average CE activity was 165.9 per cent hours per year, range 0 hours to 992 hours. This was the sum of attendance and participation in national and international meetings; self education and journal reading; professional committee activity and examining. There was also a high level of teaching, both undergraduate and postgraduate; examining; research; publications and professional committee involvement. Further analysis involved weighted scores and factors contributing towards low and high CE activity. Possession of the qualification of FRACDS (OMS) was associated with the highest level of CE. It was concluded that Australian and New Zealand oral and maxillofacial surgeons generally had a high degree of CE activity.

Service provision by patients and visit characteristics in Australian oral and maxillofacial surgery: 1990 to 2000

Brennan, D.; Spencer, A.; Singh, K.; Teusner, D.; Goss, A.
Fonte: Churchill Livingstone Publicador: Churchill Livingstone
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
46.1%
This study was set-up to describe main areas of service by patient and visit characteristics and compare trends in services between 1990 and 2000. All registered oral and maxillofacial surgeons in Australia were surveyed in 1990 and 2000 using mailed self-complete questionnaires. Service provision data were collected from a one-week log. Data were available from 79 surgeons from 1990 (response rate=73.8%) and 116 surgeons from 2000 (response rate=65.1%). Service distributions were dominated by dentoalveolar surgery in 1990 (66.6%) and 2000 (63.5%). Multivariate analysis showed: patient age, location of visit (office/theatre/inpatient facility) and referral source (general/specialist and dental/medical) were associated with all five main areas of service; type of visit (consult/operation/review) was associated with four main areas; patient sex and place of visit (private/public) was associated with three main areas; the only significant change over time was an increased percentage of orthognathic surgery, odds ratio=1.4 (95% CI: 1.1–1.7) times higher in 2000 compared to 1990. Main areas of service were associated with a range of explanatory variables such as age and sex of patients, and place, location and type of visit, and referral source. However...

Practice patterns of oral and maxillofacial surgeons in Australia: 1990 and 2000

Brennan, D.; Spencer, A.; Singh, K.; Teusner, D.; Goss, A.
Fonte: Churchill Livingstone Publicador: Churchill Livingstone
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
46.15%
This study was undertaken to describe practice patterns of oral and maxillofacial surgeons in Australia and compare trends over time. All registered oral and maxillofacial surgeons in Australia were surveyed in 1990 and 2000 using mailed self-complete questionnaires. Data were available from 79 surgeons from 1990 (response rate=73.8%) and 116 surgeons from 2000 (response rate=65.1%). In both 1990 and 2000 the majority of surgeons worked 80+% of the time in the private sector (64.1 and 71.4%), had 80+% referrals from dental versus medical sources (74.0 and 74.7%), and had 80+% of patients from dentoalveolar rather than major maxillofacial surgery (70.7 and 69.7%). The percentage of dual qualified (dental plus medical degree) surgeons increased from 2.5% in 1990 to 17.1% in 2000 (P<0.05; χ2). In 2000, surgeons who worked less than 80% in the private sector were more likely to report being overworked (57.9%) and that more surgeons were required in the public sector (65.0%) than those who worked 80% or more private (17.0 and 24.0%, respectively). Multivariate linear regressions of annual non-dentoalveolar surgical procedures per surgeon showed (P<0.05) higher provision of implant (β=0.362), TMJ (β=0.267) and bone graft surgery (β=0.208) in 2000 compared to 1990...

Development of a national clinical logbook system for oral and maxillofacial surgery trainees - the RACDS, OMS system

Sambrook, P.; Smith, A.; Hewitt, G.; Goss, A.
Fonte: MUNKSGAARD INT PUBL LTD Publicador: MUNKSGAARD INT PUBL LTD
Tipo: Artigo de Revista Científica
Publicado em //1996 EN
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46.02%
The development of a national computer database for trainees' clinical logbooks is described. Data are collected contemporaneously by trainees under the supervision of the director of their training programme. The full scope of oral and maxillofacial surgery is covered, and a national standard of experience has been developed. The benefits of this system to individual trainees, training institutions, and national educational bodies are presented.; Sambrook, Paul ; Smith, Alexis ; Hewitt, George ; Goss, Alastair

TWIST and p-Akt immunoexpression in normal oral epithelium, oral dysplasia and in oral squamous cell carcinoma

Silva, Brunno Santos de Freitas; Yamamoto, Fernanda-Paula; Pontes, Flavia Sirotheau Corrêa; Cury, Sérgio Elias Vieira; Fonseca, Felipe-Paiva; Pontes, Helder Antonio Rebêlo; Júnior, Décio dos Santos Pinto
Fonte: MEDICINA ORAL S L; VALENCIA Publicador: MEDICINA ORAL S L; VALENCIA
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
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Objectives: The aim of this study was to evaluate the immunoexpression of TWIST and p-Akt proteins in oral leukoplakia (OL) and oral squamous cell carcinoma (OSCC), correlating their expressions with the histological features of the lesions. Study design: Immunohistochemical studies were carried out on 10 normal oral epithelium, 30 OL and 20 OSCC formalin-fixed, paraffin-embedded tissue samples. Immunoperoxidase reactions for TWIST and p-Akt proteins were applied on the specimens and the positivity of the reactions was calculated for 1000 epithelial cells. Results: Kruskal-Wallis and Dunn's post tests revealed a significant difference in TWIST and p-Akt immunoexpression among normal oral mucosa, OL and OSCC. In addition, a significant positive correlation was found between TWIST and p-Akt expressions according to the Pearson's correlation test. Conclusions: The results obtained in the current study suggest that TWIST and p-Akt may participate of the multi-step process of oral carcinogenesis since its early stages.

Microbiología de las infecciones odontogénicas que son remitidas al Servicio de Cirugía oral y Maxilofacial del Hospital Militar Central, desde mayo 2012 hasta mayo 2013.; Microbiology of odontogenic infections treated at the Oral and Maxillofacial Surgery Department, Hospital Militar Central from May 2012 thru May 2013

Franco Pretto, Elías José; Castellanos García, Sergio Mauricio
Fonte: Universidad Militar Nueva Granada; Facultad de Medicina; Cirugía oral y maxilofacial Publicador: Universidad Militar Nueva Granada; Facultad de Medicina; Cirugía oral y maxilofacial
Tipo: bachelorThesis; Trabajo de grado Formato: pdf; pdf
SPA
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Describir los microorganismos más comunes y su perfil de susceptibilidad antibiótica en pacientes con infecciones de origen dental atendidos en el servicio de Cirugía Oral y Maxilofacial del Hospital Militar Central en un período de 12 meses. Lugar: Servicio de Salud Oral y Cirugía Maxilofacial, Sección de Cirugía Maxilofacial. Población: Todos los pacientes remitidos a la sección de Cirugía Maxilofacial con infecciones faciales de origen dental. Metodología: Mediante un estudio retrospectivo descriptivo se realizó revisión de las historias clínicas en busca de información demográfica (edad, sexo), signos y síntomas más comunes de los pacientes que hayan remitidos al servicio de Cirugía Oral y Maxilofacial con infecciones faciales de origen dental, identificación de los espacios anatómicos involucrados, microorganismos identificados mediante Gram, cultivo en anaerobiosis, aerobiosis y perfil de susceptibilidad, tiempo de resolución (evidencia clínica en casos ambulatorios y culminación del período de hospitalización en pacientes ingresados). Muestreo: Por conveniencia. Pacientes remitidos al servicio de Cirugía Oral y Maxilofacial del Hospital Militar Central con infección odontogénicas. Medición y plan de Análisis: Los datos fueron tabulados para análisis mediante medidas descriptivas...

Alteraciones del sueño en pacientes llevados a cirugía ortognatica para corrección de anomalía dentofacial clase iii en el servicio de cirugía oral y maxilofacial del Hospital Militar Central.; Sleep disorders in patients with class iii dentofacial anomaly brought to orthognathic surgery in the oral and maxillofacial surgery department of the Central Military Hospital.

Sánchez Fernández, Valentina; Eslava Jacome, Camilo; González, Nestor Ricardo; Eslava Jacome, Camilo
Fonte: Universidad Militar Nueva Granada; Facultad de Medicina; Cirugía oral y maxilofacial Publicador: Universidad Militar Nueva Granada; Facultad de Medicina; Cirugía oral y maxilofacial
Tipo: bachelorThesis; Trabajo de grado Formato: pdf; pdf
SPA
Relevância na Pesquisa
46.14%
INTRODUCCIÓN: En los últimos años algunas técnicas quirúrgicas utilizadas en cirugía maxilofacial han demostrado una mejoría en el Síndrome de Apnea obstructiva del sueño. En el paciente con perfil cóncavo, con diagnóstico de anomalía dentofacial clase III, se espera una reducción del espacio faríngeo y probablemente un incremento en el riesgo de SAHOS al reducir el espacio de la via aerea superior; no se encuentra hasta el momento en la literatura internacional estudios que reporten si estos cambios tienen un impacto clínico en los trastornos respiratorios del sueño por lo cual realizamos el presente estudio. OBJETIVO: Describir la relación entre la somnolencia diurna y los cambios faríngeos posteriores a cirugía ortognática en pacientes que fueron llevados a corrección de anomalía dentofacial clase III. METODOLOGÍA: Se desarrolló un estudio descriptivo de corte transversal en el Hospital Militar Central, se tomó a los pacientes operados para corrección de anomalía dento facial clase III y se realizó una evaluación prequirúrgica, radiográfica (cefalometría) y fotográfica, además de la realización de la escala de Epworth validada para Colombia, una vez logrados los objetivos ortodónticos prequirúrgicos se realizó cirugía ortognática. Posteriormente...

Glove perforation during oral surgical procedures

Lopes de Freitas Xavier,Ruth; Cavalcanti do Egito Vasconcelos,Belmiro; Ferreira da Silva,Luiz Carlos; Granja Porto,Gabriela
Fonte: Medicina Oral, Patología Oral y Cirugía Bucal (Internet) Publicador: Medicina Oral, Patología Oral y Cirugía Bucal (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2006 ENG
Relevância na Pesquisa
55.99%
Objective: The aim of this study was to determine the incidence of glove perforation among undergraduates and residents performing maxillofacial surgery and identify procedures associated with the perforations. Study Design: For this purpose, 200 pairs of surgical gloves were used. For inspecting the perforations, the gloves were filled with water, at least 500 ml. Results: Sixteen gloves (8%) were perforated, 8 (4%) by residents and 8 (4%) by undergraduate students. Only the residents noticed that 2 gloves (1%) were perforated and identified the object causing the perforation. The left hand was the more affected with 9 perforations (4.5%). The finger pulp was the region most affected with 12 perforations (6%). The perforated forefinger appeared in 8 gloves (4%), representing the highest incidence of perforations. Conclusion: We concluded there was no difference in surgical glove perforation between undergraduate students and residents, the incidence of perforations was greater in the left hand (nondominant hand) and the fingers in which most perforations occurred were the forefinger and the thumb.

An update in periapical surgery

Martí-Bowen,Eva; Peñarrocha,Miguel
Fonte: Medicina Oral, Patología Oral y Cirugía Bucal (Internet) Publicador: Medicina Oral, Patología Oral y Cirugía Bucal (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2006 ENG
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Periapical surgery has largely improved at all levels due to new technologies provided by researchers throughout the last years. The aim of this article is to carry out a bibliographic revision of the last seven years. For this reason, we will analyse the studies published in Medline and the most important spanish dental magazines. The subjects to investigate are mainly based on the incorporation of ultrasonic root-end, which allow the performance of small and adjusted retrograde cavities; as well as the new filling materials. We also include magnifying glasses or surgical microscope to the work material, plus surgical laser and the application of guided tissue regeneration.

Antimicrobial prophylaxis in oral surgery and dental procedures

Maestre Vera,Juan Ramón; Gómez-Lus Centelles,María Luisa
Fonte: Medicina Oral, Patología Oral y Cirugía Bucal (Internet) Publicador: Medicina Oral, Patología Oral y Cirugía Bucal (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/01/2007 ENG
Relevância na Pesquisa
46.1%
Transient bacteraemia is a known risk factor following oral surgery and invasive dental procedures in patients with altered immune system response and those with a susceptible site of infection (patients with heart valve prostheses or recent joint replacements, etc.) The most commonly isolated aerobic bacteria in postoperative bacteraemia are Streptococcus Viridans. However, other periodontal pathogenic anaerobic bacteria are found in up to 64% in blood cultures (mixed bacteria or anaerobic bacteria alone). Dental pathogenic bacteria do not appear to be covered by standard amoxicillin or clindamycin prophylactic regimens. This is partly due to the fact that these anaerobic bacteria often produce beta lactamase and also in view of results of antimicrobial sensitivity tests observed in recent studies. A personal history of exposure to dental pathogenic bacteria may have an impact on the patient’s global health, not only because of classical local or systemic infectious complications, but also because dental pathogenic bacteria have been found in atheromatous plaques in coronary and carotid arteries. This finding, along with epidemiological data, suggests that such bacteria may contribute to the progression of vascular arteriosclerotic lesions and the occurrence of cardiovascular and/or cerebrovascular accidents...

Oral rehabilitation with the new SG® attachment in a patient treated for oral squamous cell carcinoma

Senent,Gisela; Barjau,Ignacio; Silvestre,F. Javier
Fonte: Medicina Oral, Patología Oral y Cirugía Bucal (Internet) Publicador: Medicina Oral, Patología Oral y Cirugía Bucal (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2007 ENG
Relevância na Pesquisa
45.95%
In patients who have undergone surgery and radiotherapy for oral squamous cell carcinoma (OSCC), the posterior oral rehabilitation may prove complex. In addition to the defects produced by surgical ablation of the primary tumor, radiotherapy induces deleterious effects upon the oral tissues. We present the case of a 48-year-old male treated two years before due to OSCC in the retromolar trigone and left lateral wall of the oropharynx. Following study of the case with clinical examination and orthopantomography, a management plan was defined involving rehabilitation of the upper dental arch with fixed ceramometallic prostheses, while in the lower arch we chose a unilateral removable prosthesis adapted to a fixed prosthesis by means of a special and versatile attachment based on a new system that functions as a fixed element but which can be removed or changed at some later date. The present clinical case illustrates this type of prosthodontic solution for the management of oncological patients of this kind.

New dental simulator for microsurgical training preliminary overview

Usón Gargallo,Jesús; Abellán Rubio,Elena; Gutiérrez Pérez,José Luis; Torres Lagares,Daniel; Calles Vázquez,Carmen
Fonte: Medicina Oral, Patología Oral y Cirugía Bucal (Internet) Publicador: Medicina Oral, Patología Oral y Cirugía Bucal (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2007 ENG
Relevância na Pesquisa
46.12%
Objective: To present a new simulator designed at the Minimally Invasive Surgery Centre (Cáceres) which offers an integral, effective and viable training system that can be used for learning microsurgical techniques. Study design: A square methacrylate block was used. Animal jaws were fixed to the sides by means of butterfly screws. This block also has a drainage tube to facilitate the escape of fluids. Results: Excellent results were obtained using this simulator in microsurgical suturing training in dental, Oral and Maxillofacial Surgery Conclusions: We believe that this simulator is an essential component in microsurgical training. It is an ethically and morally valid training method with which various suturing techniques can be practised before using live animals and before applying these to daily clinical practice.