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Biomedical subjects

J A Aldous

Publications and source records attributed to J A Aldous.

10 recordsLinked to original sources
PubMed1993

Oral trauma in the emergency department.

Oral trauma is commonly observed in the emergency department, and the emergency physician has the opportunity to greatly improve prognosis for these types of injuries through prompt and appropriate initial management. Injuries resulting from oral trauma can be physically and psychologically devastating to patients, and initial treatment must often be accomplished before dental consultation is available. This article provides the emergency physician with guidelines for diagnosis, initial management, and referral for oral injuries.

Adult↗
PubMed1990

Dental management of HIV-infected individuals.

In 1981, a group of male homosexuals was found to have an immunological defect resulting in opportunistic infections. The pattern of symptoms became known as acquired immune deficiency syndrome (AIDS). Much time and expense have been invested to study the human immunodeficiency virus (HIV), prevent its spread, and find a cure for HIV infection. Fear of HIV infection has resulted in implementation of stricter infection control practices. Intervention by the Occupational Safety and Health Administration (OSHA) and Environmental Protection Agency (EPA) has mandated procedures for infection control and waste disposal. Ethical questions and social problems have surfaced concerning the treatment of HIV-infected patients. Despite reports on infection control, literature concerning management of HIV-infected dental patients is limited. Misinformation has prevented the application of reliable information about the care of HIV-infected individuals. An accurate general knowledge of HIV infection is essential for optimal care of these patients.

Adult↗
PubMed1987

Brain abscess of odontogenic origin: report of case.

Advanced dental infection rarely causes brain abscess resulting in death. Good dental hygiene and removing abscessed teeth are advised for prevention of any such occurrence. An intercranial infection is described in a 29-year-old male who also had a dental phobia.

Adult↗
PubMedDate not supplied

Managing patients on warfarin therapy: a case report.

Coagulotherapy is a common therapeutic regimen most frequently utilizing warfarin. This therapy may have important dental ramifications. An understanding of the mechanisms of action and drug interactions may help avoid problems. Questions commonly arise as to what dental procedures may be safely considered when a patient is on anticoagulant therapy. The coagutherapy level is measured in values of the International Normalized Ratio (INR). Any question about the appropriateness of dental procedures should be referred to the physician prescriber of the anticoagulant therapy. Generally, controlling bleeding is less of a problem than the management of thrombi and vascular occlusion from decreased coagutherapy. A case is presented in which the INR reached a critical value as the result of drug interactions and miscommunication.

Anti-Bacterial Agents↗
PubMedDate not supplied

Analgesic prescribing patterns in a group of dentists.

Dentists have an increasing number of analgesic agents available to enable them to deal with pain relief. Each of these agents has advantages tempered by undesirable side effects. Five years ago the authors conducted a survey of dentists to compare analgesic prescribing habits. A follow-up study was conducted to ascertain any changes in analgesic therapy prescribing habits. It was determined that most dentists prefer to prescribe on an as-needed basis rather than by the clock. New drugs in the marketplace have not changed the approach of dental practitioners in handling pain management; similarly, prescription writing patterns have not changed appreciably in the last five years. More restraint probably could be used in prescribing narcotic agents.

Adolescent↗
PubMedDate not supplied

Do dentists prescribe narcotics excessively?

Dealing with pain is an inevitable sequela to dental treatment. Although several drug regimens primarily involving narcotics have been used in the past, availability of nonsteroidal anti-inflammatory drugs (NSAIDs) has increased recently. A study was conducted to analyze dental prescribing patterns for analgesics. Data analysis of a survey of 130 dentists revealed that respondents still rely on narcotic analgesics for pain relief and generally exceed needed potency and quantities in their prescribing habits. Dentists are treating rather than preventing pain, and NSAIDs are underused.

Analgesics, Opioid↗