RESUMO
Alveolar osteitis (dry socket) continues to be a frequent sequela of third molar surgery. Chlorhexidine 0.12% used as an oral rinse has been reported to reduce the incidence of dry socket. This study compares the effectiveness of 0.12% chlorhexidine used as a preoperative rinse and immediate postextraction irrigant with 1) similarly used 0.05% cetylpyridium, preoperative chlorhexidine rinse and postextraction saline irrigation, and 2) only postextraction irrigation with normal saline in the reduction of alveolar osteitis in mandibular third molar extractions. The results indicate that chlorhexidine and cetylpyridium were no more effective in the reduction of alveolar osteitis than postextraction irrigation with normal saline.
Assuntos
Clorexidina/análogos & derivados , Alvéolo Seco/prevenção & controle , Extração Dentária , Adolescente , Adulto , Cetilpiridínio/uso terapêutico , Distribuição de Qui-Quadrado , Clorexidina/administração & dosagem , Clorexidina/uso terapêutico , Alvéolo Seco/etiologia , Feminino , Humanos , Masculino , Mandíbula , Dente Serotino/cirurgia , Distribuição Aleatória , Extração Dentária/efeitos adversos , Dente Impactado/cirurgiaRESUMO
A case of brachial plexus injury occurring during bilateral temporomandibular joint reconstruction is reported. Patient positioning during surgery is the key to prevention of such injuries.
Assuntos
Plexo Braquial/lesões , Complicações Intraoperatórias , Articulação Temporomandibular/cirurgia , Adulto , Feminino , Humanos , Complicações Intraoperatórias/prevenção & controle , PosturaRESUMO
A discussion of a rational technique of evaluation, diagnosis, and surgical therapy of temporomandibular joint disorders is presented. A retrospective analysis of operations for temporomandibular joint that occurred in a 30-month period is presented in light of this approach.
Assuntos
Transtornos da Articulação Temporomandibular/cirurgia , Adolescente , Adulto , Cartilagem Articular/cirurgia , Feminino , Humanos , Masculino , Côndilo Mandibular/cirurgia , Pessoa de Meia-Idade , Estudos Retrospectivos , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/terapiaRESUMO
Orthognathic surgical procedures have been used in the past for the treatment of obstructive sleep apnea. The treatment becomes more complicated when the patient has edentulous upper and lower arches. A treatment plan that provided a good surgical result and resolution of all symptoms was devised for such a patient.