[Anti-edematous pharmacotherapy in ambulatory oral surgery].
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Biomedical subjects
Publications and source records attributed to C Schottke.
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In the sphere of outpatient oral surgery, the treatment of children definitely offers possibilities of retaining teeth which are described in detail. The treatment should always be an individual one, and it should consider the pecularities of the growing organism.
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Blood-pressure and pulse-rate measurements, sensibility tests and tissue clearance measurements were performed in juvenile patients aged from 12 to 18 years to evaluate the clinical effects and side-effects of the new vasoconstrictor POR 8 (ornipressin) in ambulatory dental treatments. There were no significant differences in efficiency compared to adrenaline. Indications for the use of POR 8 are mentioned.
Morphological-functional changes occur in the oral cavity also in depended from the age. The morphological changes of the enamel, dentin, dental pulp, periodont, oral mucosa, salivary glands, tongue, maxillary bone and temporo-mandibular-joint change not only the functional cooperation of all parts in the orofacial system. They show effects for the whole body also. A complete gerostomatological standard does not exist for the whole gnathological system. But single indices for some partial components are known. For the judgement of the caries involvement it is possible to use the DMF-index, for which a special gerostomatological type exist. The periodontal diseases are classified adequately to the ARPA-nomenclature. For the judgement of odontolithiasis and oral hygienic conditions you can use the so called odontolith-Index (CI), the OH (oral hygienic debris) and the so called calculus-index (OHI-S). It is refered to different possibilities for classification of dentition with gaps.
The relatively rare complications developing under local anaesthesia may be due to various causes. The possibilities of the development of accidents under local anaesthesia are outlined; and prophylactic and therapeutic measures are deduced. A schematic premedication cannot prevent the development of complications with a sufficient degree of certainty; for instance, in certain cases the administration of atropine alone will still worsen the course of a complication. On the contrary, an individual premedication should be aimed at, especially in risk patients; the dosage must take into consideration all important factors. Consequently, atropine is of less importance than, for example, psychopharmaca and beta-receptor blockers.
The author points out that the elimination of pains in difficult children presents some particularities, referring to certain stages of the psychosomatic development among other things, upon which vegetative reactions may depend. Observations of this kind are mentioned together with their recording, and practice-relevant methods of local anaesthesia are suggested.
The purpose of the present review is to suggest to the practising stomatologist simple measures against incidents. The importance of history taking and examination, psychoprophylaxis and other preparatory measures in outpatients is emphasized.
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