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Biomedical subjects

B Peltier

Publications and source records attributed to B Peltier.

27 records · Page 2Linked to original sources
PubMed1995

Guidelines for the administration of local anesthesia in fearful dental patients.

Fear of dentistry is a major problem for patients and dentists. Fear of local anesthetic injections is one of the most common fears reported by dental patients. It is imperative that local anesthetic injections be administered to dental patients in the context of treatment of the patient's fear. To try to "get through" the injection without addressing the patient's fear is to risk perpetuating or increasing the fear and missing an opportunity to help patients overcome their fear of dentistry. This article describes principles for treatment of dental fear. An injection technique is described that can be used in conjunction with the treatment of a patient's fear and represents a part of that treatment. This "low pain and anxiety" injection technique can be used with any patient.

Anesthesia, Dental↗
PubMed1995

Patients who make a dentist most anxious about giving injections.

The patient is not the only person in the dental operatory who may be feeling anxious about injections. A questionnaire mailed to 3,000 alumni of a California dental school of study the effects on dentists of administering local anesthesia showed that they, too, can be anxious during the procedure. Of the 3,000 questionnaires sent out, 711 valid ones were returned. This paper analyzes the answers of 545 respondents to one of the questionnaire's open-ended questions, "Is there one type of patient that seems to make you the most anxious about giving injections? If so, please describe this type of patient." Two-thirds of the responses to this question described anxious patients as the main source of the dentist's anxiety. The next most frequent response (16 percent) identified children as the main source of anxiety. Six percent of the dentists wrote that no particular type of patient bothers them when giving an injection.

Adult↗
PubMed1994

Dentists troubled by the administration of anesthetic injections: long-term stresses and effects.

A questionnaire was mailed to 3,000 practicing dentists to inquire about their physical and psychological responses to the task of administering local anesthesia. Surprisingly, 18.8% of the 711 responding dentists reported that the administration of injections causes them enough distress to have (at least at some time) reconsidered dentistry as a career. Six percent of respondents considered their thoughts and feelings to be a serious problem, whereas only 2% reported no negative reactions to this aspect of clinical practice. Self-reported reactions to various anesthetic procedures were compared, and the various responses are discussed. It is concluded that the administration of anesthetic injections is a rarely discussed but significant contributor to the overall professional stress and difficulty for many, but not all, dentists.

Adult↗
PubMed1993

Treatment of high and low fear individuals.

This article presents case histories of two patients who were treated at the Dental Fears Research Program at the University of the Pacific School of Dentistry. These cases demonstrate that dental fear in various forms can be successfully treated and that there are principles which have application in patients with mild anxiety as well as with patients who experience extreme anxiety.

Anesthesia, Dental↗
PubMed1992

Comparison of MMPI scores with self-report of sleep disturbance and bruxism in the facial pain population.

Sleep disturbance and bruxism are common clinical characteristics of the chronic facial pain patient. Previous studies have shown that chronic pain patients reporting disturbed sleep show more psychopathology and respond less readily to treatment. Bruxism has been linked to emotional stress and periods of difficult life change. The present study explored the question of whether sleep disturbance or bruxism are useful predictors of psychopathology in the facial pain population. Psychopathology was measured by using the Minnesota Multiphasic Personality Inventory (MMPI). It was predicted that facial pain patients who reported sleep disturbance or bruxism would correlate with more elevated scores on the MMPI profiles. The results of the study revealed a strong association between self-report of disturbed sleep and higher MMPI scores. No difference between the MMPI scores of bruxers and non-bruxers was found. It was concluded that sleep disturbance may be an effective predictor of psychological disturbance within the facial pain population, while bruxism was not found to be associated with psychological disturbance as measured by the MMPI.

Bruxism↗
PubMed1982

Smoking cessation with adolescents: a comparison of recruitment strategies.

This study compared two methods for recruiting high school students into a voluntary smoking cessation program. A person-to-person approach was compared to an approach that resembled normal school publicity procedure. Active personal recruitment produced 31 volunteers, while the normal procedures produced only one. Subsequent application of the active approach at sites where only static procedures had been used produced an additional 21 volunteers. Results suggest that active person-to-person recruitment may be an important component of a smoking cessation effort with high school students.

Adolescent↗
PubMed1980

[Ventricular branches of the circumflex artery of the heart].

Because of the great number of anatomic descriptions, and because of the variability of the nomenclature, the authors realized three studies: anatomical, radiological, and surgical studies of 198 hearts (150 dissections and 148 angiographies). There are 3 groups of collateral branches for the left ventricle: --The lateral branch (existing in 49 per cent of the cases), beginning after a short space with often an intra-myocardial segment, and running obliquely on the pulmonary surface of the left ventricle. --The lateral and inferior branch (existing in 38 per cent of the cases), situated just between the pulmonary and diaphragmatic surface of the ventricle, and perpendicular to the coronary sulcus. --The inferior or posterior branches (existing in 59 per cent of the cases), which are parallel to the inferior (or posterior) interventricular sulcus, on the diaphragmatic surface of the heart.

Coronary Angiography↗
PubMed1979

[Traumatic myocardial infarct].

Two cases of traumatic, closed chest, myocardial infarction in two young patients, aged 18 and 19 years respectively, are reported. They illustrate the two possible physiopathological mechanisms of this affection: in the first case, myocardial contusion after thoraco-abdominal trauma by crushing, probably complicated by a subendocardial tear of the inferior wall of the left ventricle, with a spontaneous favourable outcome; in the second case, a transmural myocardial infarction was observed secondary to a coronary lesion (? tearing of the adventitia of the left anterior descending artery) complicated by the early development of a large antero-apical aneurysm. Haemodynamic and arrhythmic complications necessitated infarctectomy and aorto coronary bypass surgery on the 35th day. The pathological lesions and their outcome are examined with respect to these two cases. The diagnostic, therapeutic and medieolegal problems associated with this condition are also discussed.

Adolescent↗