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Biomedical subjects

C E Hutton

Publications and source records attributed to C E Hutton.

At least 19 recordsLinked to original sources

Oral and maxillofacial surgery: outcomes and attitudes.

A survey of 56 former oral and maxillofacial surgery residents at one institution indicated that they believe their specialty was satisfying and rewarding and their training prepared them well for practice, but that they were lacking in business skills and knowledge. Those who elected not to take the American Board examination did so because they saw no advantages. The stress and demands of residency and practice were not major factors for those who had experienced divorce.

Attitude of Health Personnel

Comparison of meclofenamate sodium and hydrocortisone for controlling the postsurgical inflammatory response in rats.

The effectiveness of meclofenamate sodium and hydrocortisone in alleviation of local postsurgical swelling and leukocytic infiltration was compared at two postsurgical intervals in 60 male Sprague-Dawley rats. Both drugs were effective at 24 hours after surgery. Ten doses of 2 mg meclofenamate sodium administered over a 5-day period were more effective in reducing leukocytic infiltration than six doses of 2 mg hydrocortisone administered over the same period. Neither the hydrocortisone nor the meclofenamate sodium at the dosage used adversely affected osteoid formation.

Animals

Statistical analysis of clinical, radiographic, and histologic features of temporomandibular arthropathy.

For a variety of reasons, the past few years have brought about a tremendous emphasis on conditions affecting the temporomandibular joint and associated structures. Although important advances are being made relative to the diagnosis and treatment of these conditions, a myriad of problems remain for the practitioner who tries to sort through the literature or who attends courses in order to determine a means for properly diagnosing and treating these patients. This article attempts to develop correlations between certain clinical and radiographic findings documented by histologic evaluation as a beginning guide to more sound diagnosis.

Diagnosis, Differential

Intradental lesions and their reversal in a patient being treated for end-stage renal disease.

The number of patients with end-stage renal disease who are being successfully treated by hemodialysis is rapidly increasing across the nation. These patients present some special problems for dentists to correctly diagnose and treat. Presented here is a brief outline of the etiology of changes that might occur, along with the case report of a patient who developed unusual intradental lesions that reversed themselves as the patient's general medical problems were brought under control.

Adult

The effectiveness of 100 and 200 mg etodolac (Ultradol), aspirin, and placebo in patients with pain following oral surgery.

The analgesic efficacy of etodolac (Ultradol) was evaluated in 168 patients experiencing moderate to severe pain following oral surgery. The patients were given either etodolac 100 mg, etodolac 200 mg, aspirin 650 mg, or placebo. There was a minimum of forty patients in each drug group. Patients recorded pain intensity and pain relief at 1/2 hour and then hourly for up to 12 hours after medication. The efficacy variables analyzed were the sum of pain-intensity differences, total pain relief, onset of analgesia, and the patient's opinion of the study drug. Time-effect curves were made from the pain-relief and pain-intensity difference scores. The analgesic potency of both 100 and 200 mg of etodolac was comparable to 650 mg of aspirin and superior to placebo. Like aspirin, both doses of etodolac showed significant analgesia within one hour and a significantly longer duration of action than placebo.

Acetates

Erosive temporomandibular joint disease as a feature of the spondyloarthropathy of ulcerative colitis.

A patient with ankylosing spondylitis associated with ulcerative colitis developed bilateral temporomandibular joint pain and severe restriction of jaw motion. Conventional radiographs did not show structural abnormality of the temporomandibular joints, but corrected axis tomography revealed erosions in both mandibular condyles with extensive reactive sclerosis in the subchondral bone. These findings suggest that the temporomandibular joint disease in this case was a feature of the patient's spondylitis rather than a manifestation of the peripheral joint arthritis which commonly occurs in patients with ulcerative colitis.

Adult

Condylectomy for temporomandibular joint dysfunction. A survey of seventeen postoperative patients.

Seventeen patients were asked to make a subjective evaluation of their condition after having had a mandibular condylectomy performed. Fourteen of seventeen felt that the surgical procedure had cured their symptoms of pain and limitation of motion. Surgical procedures on the temporomandibular joint are valid when there is organic disease of the temporomandibular joint. However, care must be taken to differentiate between organic disease and the so-called myofascial pain dysfunction syndrome, since surgery is considered inappropriate for the myofascial pain dysfunction syndrome. Even in cases of organic joint disease, care must be taken to identify any existing emotional problems that the patient may have. In cases of organic joint disease with strong psychological overtones, surgical intervention alone may not be enough to relieve the patients of their temporomandibular joint symptoms.

Adult

Treatment of phenytoin-induced gingival hyperplasia by electrosurgery.

Many medications and combinations of medications are available for the control of epilepsy, but phenytoin continues to be the most effective agent for most patients. A common side effect of this drug is the development of moderate to severe gingival hyperplasia in tooth-bearing areas, which can contribute to problems of function, oral hygiene, appearance, and, eventually, loss of teeth. Excision by conventional means is technically difficult, time-consuming, may be associated with considerable loss of blood, and requires postoperative care, such as periodontal packing, that is impractical if not impossible for many patients, especially the severely mentally handicapped. We have described a technique of gingivectomy using an electrosurgical device in the hospital with the patient under general anesthesia that has produced good results for more than 15 years. This procedure has virtually eliminated the problems of conventional surgical excision with little or no postoperative sequelae.

Connective Tissue

Chondroma of the anterior nasal spine.

Chondromas in the head and neck, and particularly in the nasal region, are uncommon. A unique case of a chondroma within the anterior nasal spine has been reported. The asymptomatic lesion was discovered radiographically and mimicked a mesiodens. The tumor consisted of benign-appearing cartilaginous tissue; enucleation has resulted in a apparent cure. A hamartomatous origin has been postulated for this unusual lesion.

Adult