RESUMEN
Two 65-year-old white men with coronary heart disease, given niacin therapy for dyslipidemia for 5 months, developed intense dental and gingival pain that was associated with increases in dose and that was relieved with discontinuance of niacin treatment. One individual who took crystalline niacin had beneficial effects on lipid levels, while the other person who took a delayed release preparation had little lipid effect. The cause of these previously unreported side effects of niacin therapy is uncertain but may be related to prostaglandin-mediated vasodilatation, hyperalgesia of sensory nerve receptors, and potentiation of inflammation in the gingiva with referral of pain to the teeth.
Asunto(s)
Encía , Hipolipemiantes/efectos adversos , Niacina/efectos adversos , Dolor/inducido químicamente , Odontalgia/inducido químicamente , Anciano , Humanos , Hiperlipidemias/tratamiento farmacológico , MasculinoRESUMEN
The purpose of this study was to define the incidence of operative and postoperative morbidity associated with the removal of impacted mandibular third molars in patients of various ages. Results of this investigation show that there is a significant increase in surgical morbidity as patients become older. When it has been determined that the mandibular third molars must be removed, the operation should be performed on the young adult.
Asunto(s)
Diente Molar/cirugía , Extracción Dental/efectos adversos , Diente Impactado/cirugía , Adolescente , Adulto , Factores de Edad , Anciano , Antibacterianos/uso terapéutico , Enfermedad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Diente Molar/patología , Complicaciones Posoperatorias , Factores de Tiempo , Diente Impactado/patologíaRESUMEN
The average income of full-time teachers of oral surgery was summarized in this article of The Manpower Survey of Oral Surgery in 1974 and can be compared to that of the general membership as described in the third article (JOURNAL OF ORAL SURGERY 35: Special Issue A, August 1977). The attitudes of 157 full-time teachers toward the time they spent in training are noted. Although 68.1% stated it was good, 26.6% thought it was too short or that the emphasis was wrong. Thus a substantial number of teachers expressed a need for improvement in their training. Concern also was evident about the time spent on rotations. More time was considered necessary in internal medicine, general surgery, outpatient anesthesiology, surgery in the operating room, research, and neurosurgery. Concern was expressed in another way in that 29.8% of the oral surgery teachers thought that their training was only adequate or poor in surgical skills and 27.3% thought it was adequate or poor in diagnostic skills.