RESUMO
Direct sagittal CT imaging of the TMJ provides several distinct advantages. Most significant is that direct imaging allows noninvasive evaluation of the disk. Direct sagittal CT scanning can confirm a clinical diagnosis of internal derangements as well as monitor splints intended for recapturing of the disk. Furthermore, the CT direct imaging allows excellent views of the bony architecture similar to those obtained with tomography. Used with clinical history and physical examination, CT can provide an excellent diagnostic modality to help provide better care for patients with internal derangement of the TMJ.
Assuntos
Cartilagem Articular/diagnóstico por imagem , Luxações Articulares/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Cartilagem Articular/anatomia & histologia , Feminino , Humanos , Luxações Articulares/terapia , Masculino , Côndilo Mandibular/diagnóstico por imagem , Articulação Temporomandibular/anatomia & histologia , Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/terapiaRESUMO
Hypersensitivity to the constituents of dental amalgam is uncommon. When it occurs it typically manifests itself as a lichenoid reaction involving a delayed, type IV, cell-mediated hypersensitivity response. Rarely, a more acute and generalised response can occur involving both the oral mucosa and skin. We describe two cases that illustrate the presentation and management of these two types of reaction.
Assuntos
Vesícula/induzido quimicamente , Amálgama Dentário/efeitos adversos , Hipersensibilidade Tardia/induzido quimicamente , Hipersensibilidade Imediata/induzido quimicamente , Erupções Liquenoides/induzido quimicamente , Mercúrio/efeitos adversos , Doenças da Boca/induzido quimicamente , Exantema/induzido quimicamente , Dermatoses Faciais/induzido quimicamente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes do Emplastro , Prurido/induzido quimicamente , Doenças da Língua/induzido quimicamenteRESUMO
Two mobile emergency resuscitative carts have been described. One, in use in a major dental school in the United States, has been estimated to cost $8,000 to $10,000. The second, with essentially the same equipment and drugs, costs about $2,800 and is feasible for an office situation. It helps to solve two problems. First, it provides a ready, compact, and organized method for the storage and maintenance of emergency resuscitative drugs and equipment. Second, it provides a vehicle by which the medical emergency resuscitative expertise of the oral and maxillofacial surgeon may be extended and utilized.