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Biomedical subjects

F A Brady

Publications and source records attributed to F A Brady.

14 recordsLinked to original sources

The maxillary antrolith.

The case of a maxillary antrolith discovered as an incidental finding on a panoramic radiograph is presented. The literature is reviewed, with particular reference to etiology, clinical features, and radiographic findings. The value of facial tomographs taken in two directions pertaining to the present and similar cases is discussed.

Adult

Extracondylar osteochondromas of the jaws.

A review of the literature and the addition of two new cases have revealed that according to a histologic criterion there are presently twenty reported cases of osteochondroma of the jaws located outside the condyles. Although most of the extracondylar lesions have occurred on the coronoid process, cases are now reported on the maxilla and the body of the mandible. The clinical features of these lesions are compared with those located in the condyle, and the radiographic and surgical approaches of the extracondylar lesions are discussed.

Age Factors

Dental management of the irradiated patient.

There is an increasing number of patients receiving radiation therapy for oral malignancies. In many malignant tumors, radiation is often the treatment of choice, while in others it may be used in conjunction with surgery or chemotherapy. There are inherent dental and oral problems associated with radiation therapy. It is the purpose of this paper to deal briefly with the physical principles and the biological basis of radiation therapy. In addition, the specific radiation effects on oral mucous membranes, taste buds, salivary glands, bone, the periodontium and teeth will be discussed. Radiation complications in edentulous patients, and in particular the problems of wearing dentures in such patients will be evaluated. An approach to the problem of dental extractions and other dental treatments in the pre- and post-irradiated patient is suggested.

Bone and Bones

Traumatic ankylosis of the temporomandibular joint.

Traumatic injuries to the region of the temporomandibular joint (TMJ) may result in varying degrees of hypomobility of the mandible. The physical and psychological problems associated with restricted jaw opening are outlined. The different forms of ankylosis are mentioned. The rationale behind the various surgical approaches to the problem is outlined, and mention is made of current concepts in joint reconstruction. The importance of supportive adjunctive therapy in the postoperative period, is emphasized.

Adult

Orofacial odontogenic infections.

Clinical manifestations of odontogenic orofacial infections are protean and are largely dictated by complex microbiota and anatomic routes of spread. Complications such as suppurative mediastinal or intracranial extension, retropharyngeal spread and airway obstruction, pleuropulmonary involvement, and hematogenous dissemination indicate the potentially serious nature of these infections. In this review we emphasize the pathogenetic mechanisms of infection, the principles of antimicrobial therapy, and the need for early surgical intervention.

Bacterial Infections

Necrotizing fasciitis.

Necrotizing fasciitis is a relatively uncommon severe soft tissue infection that is characterized by rapid widespread superficial fascial necrosis with undermining of surrounding soft tissue. Recent advances in anaerobic culture techniques have allowed identification of anaerobic organisms, which are now considered to have a vital role in the pathogenesis of this soft tissue infection. Therapy requires both rapid institution of a high level of antibiotics and a radical surgical incision and drainage procedure. All of the aerobic and anaerobic organisms isolated in the reported case of necrotizing fasciitis arising from a periapically infected mandibular third molar demonstrated in vitro sensitivity to penicillin.

Adult