RESUMEN
Trismus is defined as a tonic contraction of the muscles of mastication. It can also refer to limited mouth opening of any cause. Trismus is a classical symptom of masticatory space infections and it can be a sign of an infection in the anterior compartment of lateral pharyngeal space. Common causes in clinical practice followed by trismus are odontogenic infection which can be periodontal or pericoronal. This article will present a clinical report on intraoral management of mandibular odontogenic infection accompanied by severe trismus under local anesthesia using modified Akinosi technique in an outpatient environment. Treatment and postoperative period were routine. This kind of approach provides access to the infection at an early stage without general anesthesia, it shortens the hospital treatment and it enables faster recovery. KEY WORDS: Local Anesthesia, Odontogenic infection, Trismus.
Asunto(s)
Anestesia Local , Antibacterianos/uso terapéutico , Enfermedades Estomatognáticas/tratamiento farmacológico , Enfermedades Estomatognáticas/cirugía , Trismo , Adulto , Anestesia Local/métodos , Humanos , Masculino , Boca , Enfermedades Estomatognáticas/complicaciones , Enfermedades Dentales/tratamiento farmacológico , Enfermedades Dentales/cirugía , Raíz del Diente/cirugía , Trismo/etiología , Trismo/terapiaRESUMEN
The paper presents basic principles of local anesthesia selection in patients with concomitant somatic diseases. These principles are history taking; analysis of drugs interaction with local anesthetic and sedation agents; determination of the functional status of the patient; patient anxiety correction; dental care with monitoring of hemodynamics parameters. It was found that adhering to this algorithm promotes prevention of urgent conditions in patients in outpatient dentistry.
Asunto(s)
Atención Ambulatoria , Anestesia Dental/métodos , Anestesia Local/métodos , Atención Odontológica , Enfermedades Estomatognáticas/complicaciones , Enfermedades Estomatognáticas/cirugía , Algoritmos , Anestesia Dental/efectos adversos , Anestesia Local/efectos adversos , Anestésicos Locales/farmacología , Interacciones Farmacológicas , Hemodinámica , Humanos , Hipnóticos y Sedantes/farmacología , MasculinoRESUMEN
The aim of the study was to evaluate the algorithm of safe emergency dental care in pregnant patients. Eighty-five pregnant women aged 20-35 were included in the study. The paper presents elaborated state-of-the-art guidelines for emergency dental care in pregnant patients. Articaine 4% with epinephrine 1:200,000 is recommended as a choice agent for local anesthesia in these patients.
Asunto(s)
Atención Odontológica/métodos , Complicaciones del Embarazo/cirugía , Enfermedades Estomatognáticas/cirugía , Adulto , Algoritmos , Anestesia Dental/métodos , Anestesia Local/métodos , Anestésicos Locales/administración & dosificación , Carticaína/administración & dosificación , Servicios Médicos de Urgencia , Epinefrina/administración & dosificación , Femenino , Humanos , Embarazo , Vasoconstrictores/administración & dosificación , Adulto JovenRESUMEN
Combined drugs with a hydrophilic base, nitacide and hyposol-n, were used in combined therapy of acute purulent inflammations of the maxillofacial area. Time course of clinical parameters and changes in microflora were studied in patients administered different local treatments with different inflammatory reactions. The data indicate a high efficiency of the drugs, which optimized local therapy of suppurative wounds and are recommended for wide practical use.