An unusual sequel to the retention of symptomless unerupted maxillary canines.
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
J G Meechan
Publications and source records attributed to J G Meechan.
An investigation into post-operative pain after third molar surgery under local analgesia.
The pain experienced after third molar surgery was investigated over a 7 day post-operative period in 80 patients. The results from the study suggest that post-operative pain is of short duration and reaches its maximum intensity in the early post-operative period. Nearly all patients required an analgesic at some time during the 7 days. The sex of the patient and whether there is a previous history of pericoronitis are important determinants of post-operative pain. However, the magnitude of post-operative pain does not appear to be dependent upon the operator or related to the extent of surgical trauma as assessed by operating time and radiographic score.
Adult↗
Oro-nasal fistula occurring after a simple dental extraction.
A case is presented of an oro-nasal fistula appearing after a simple dental extraction. A conservative approach resulted in complete and uncomplicated resolution.
Adult↗
The use of patient-controlled transcutaneous electronic nerve stimulation (TENS) to decrease the discomfort of regional anaesthesia in dentistry: a randomised controlled clinical trial.
OBJECTIVE: To compare the use of topical anaesthesia and transcutaneous electronic nerve stimulation (TENS) as means of reducing the discomfort of inferior dental block injections. METHODS: One hundred adult dental patients received 2% lignocaine with 1:80,000 adrenaline for long buccal and inferior dental block anaesthesia. The long buccal injections were given first with no prior mucosal preparation. Patients received inferior dental blocks after one of the following mucosal preparations: (1) no pretreatment; (2) a 2 min application of 20% benzocaine topical anaesthetic; (3) application of patient-controlled TENS at the injection site. Patients scored injection discomfort after each administration on a 100 mm visual analogue scale. RESULTS: The discomfort of the long buccal injection did not differ between the three groups of patients (F2,97 = 1.0). There were significant differences in the pain scores for the inferior dental block injections (F2,97 = 5.3; p < 0.01). Injection discomfort following TENS was less than that following no pretreatment (p < 0.01) and after topical anaesthetic application (p < 0.05). The use of topical anaesthesia did not produce a significant change in injection discomfort compared with no pretreatment. CONCLUSION: The use of TENS reduces injection discomfort during inferior dental block anaesthesia.
Administration, Topical↗
Human labial orf: a case report.
A case of orf in a 59-year-old man with no direct contact with farm animals is reported. The patient presented with an ulcerating lesion on the upper lip and the diagnosis was confirmed by electron microscopy from a smear of the lesion. The unusual case history, differential diagnosis and method of diagnosis are discussed.
Basal Cell Carcinoma↗
The effect of two different local anaesthetic solutions on pain experience following apicectomy.
Post-operative pain experience following apicectomy of a single maxillary anterior tooth was compared in two groups of patients having this treatment under local anaesthesia. Twenty patients received 3.6 ml of 2% lignocaine with 1:80,000 adrenaline and 23 patients the same volume of 1.5% etidocaine with 1:200,000 adrenaline, as the local anaesthetic agent. Although soft tissue anaesthesia lasted significantly longer when etidocaine with adrenaline was used, pain experience and analgesic intake did not differ between regimens. Lignocaine with adrenaline produced better operating conditions as haemorrhage control was more effective and the quality of operative anaesthesia was more satisfactory than with etidocaine and adrenaline. The use of etidocaine with adrenaline offered no advantages over lignocaine with adrenaline when administered as infiltration anaesthesia for apical surgery.
Adult↗
Recent advances in local anaesthesia.
This paper describes developments in the field of dental local anaesthesia. Recently introduced injectable agents, advances in the field of topical anaesthesia and new delivery systems are discussed.
Anesthesia, Dental↗
Bilateral lower lip mucoceles: cause of functional malocclusion in a three-year-old child.
The case report of a three-year-old girl is presented, who had two nontender, bluish, fluctuant swellings diagnosed as superficial mucoceles present since the child was a few days old. The child had a unilateral crossbite with the mandibular midline shifted almost one tooth width to the left, a longstanding function adaptation producing malocclusion. The mucoceles were surgically removed, and the cross-bite disappeared.
Child, Preschool↗
The intraoral use of EMLA cream in children: a clinical investigation.
The use of 5 percent EMLA (an eutectic mixture of local anesthetics comprised of a mixture of prilocaine and lidocaine) as an intraoral topical anesthetic in children has been assessed in a clinical investigation. In a split-mouth study in twenty children there was no difference in the efficacy of EMLA and 5 percent lidocaine ointment in alleviating the pain of maxillary buccal infiltration injections of local anesthetics. EMLA did not differ significantly from placebo in the changes in pulpal responses of maxillary primary teeth to electrical stimulation before and after application in a double-blind split-mouth study in twenty children.
Administration, Topical↗
Exodontia and minor oral surgery for the child patient.
Explore the source record for details and available documents.
Child↗
Medical problems affecting the management of children in dentistry.
Medical problems can affect the type and timing of dental treatment in children and also the methods of pain control used. In this paper, conditions which influence the choice of anaesthesia and the performance of nonsurgical and surgical dentistry are discussed, as are conditions which affect dental development.
Anesthesia, Dental↗
Sedation in dental practice. 3: The role of sedation in the management of problems with local anaesthesia.
This article describes how sedation can help to overcome some of the problems associated with the use of local anaesthesia for dentistry. It also reviews those problems where sedation is not the appropriate choice, and gives guidance on distinguishing the appropriate from the inappropriate, along with suggestions for how such cases might be managed.
Adult↗
Meningococcal septicemia and disseminated intravascular coagulation affecting the premaxillary permanent tooth germs.
The following case describes the dental effects resulting from a case of meningococcal septicemia which caused a disseminated intravascular coagulation and premaxillary osteomyelitis at age two years. The effects went unnoticed for eight years when delayed development of the maxillary incisors was noted. Treatment involved surgical removal of the dental remnants and provision of a removable partial denture. Implants and ridge augmentation will be considered in early adulthood.
Child↗