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Biomedical subjects

L Krekmanov

Publications and source records attributed to L Krekmanov.

26 records · Page 2Linked to original sources
PubMed1985

Effect of application of cold dressings on the postoperative course in oral surgery.

The effect of external application of local cold on swelling, trismus, temperature and pain postoperatively in surgical removal of impacted mandibular third molars was studied in a cross-over study comprising 45 patients. The patients were treated postoperatively with cold dressings after the first or the second operation. There were no significant differences in swelling, trismus, temperature or postoperative pain between the 2 groups of operations. It is concluded that the external application of cold after the surgical removal of impacted mandibular third molars does not appear to improve the postoperative course, either on a short or long term basis.

Adolescent↗
PubMed1981

Alveolitis after operative removal of third molars in the mandible.

The aim of the investigation was to assess the importance of various factors in the aetiology of alveolitis sicca dolorosa. Two hundren partially erupted or totally impacted mandibular third molars were surgically removed. The patients were divided into four groups. The patients in group 1 were premedicated with a single dose of penicillin-V (phenoxymethylpenicillin), those in group 2 with an antisialogogue (methylscopolamine nitrate), and those in group 3 with an antifibrinolytic agent (tranexamic acid). Group 4 were non-premedicated controls. The frequency of alveolitis in the groups 1 and 2 was significantly less than in the groups 3 and 4. This indicates the importance of salivary contamination of the surgical field and of infection as aetiologic factors in alveolitis.

Adolescent↗
PubMed1980

Relationship between bacterial contamination and alveolitis after third molar surgery.

The frequency of alveolitis after third molar surgery was studied in three groups of 40 patients each. One group was premedicated with penicillin V, another with scopolamine, and the third group received no premedication. The respective frequencies of alveolitis were 5, 2.5 and 32.5 % (P less than 0.01 and P less than 0.001). The aerobic flora in blood sampled from the socket before suturing was significantly reduced (P less than 0.05) in the penicillin group as compared with the controls. In alveolar blood clot sampled 48 h postoperatively, both aerobes and anaerobes were significantly diminished (P less than 0.01). The concentration of penicillin V in alveolar blood ranged from 0.8 to 9.5 mg/l. The total bacterial content in alveolar blood before suturing showed poor correlation with the development of alveolitis. Abundant growth of aerobes was found, however, in 75 % of the patients with alveolitis, but in only 47 % of those without this complication.

Adolescent↗
PubMedDate not supplied

Tilting of posterior mandibular and maxillary implants for improved prosthesis support.

Rehabilitation of atrophied edentulous arches with endosseous implants in the posterior regions is often associated with anatomic problems such as jaw shape and location of the mental loop, mandibular canal, and maxillary sinuses. The purpose of this investigation was to modify the method for implant placement in the posterior part of the jaws to extend fixed implant-connected prostheses further distally, and to reduce the length of cantilevers in complete-arch prostheses without transpositioning the mandibular nerve or performing bone grafting in the maxilla. Forty-seven consecutive patients were treated with implants (25 patients/36 mandibular implants, 22 patients/30 maxillary implants) placed in tilted positions. They were followed a mean of 40 months (mandibles) and 53 months (maxillae). In the mandible, implants close to the mental foramina were tilted posteriorly approximately 25 to 35 degrees. In the maxilla, the posterior implants were placed close to and parallel with the sinus walls and were titled anteriorly/posteriorly approximately 30 to 35 degrees. Patients gained a mean distance of 6.5 mm of prosthesis support in the mandible and 9.3 mm in the maxilla, as a result of implant tilting. There were no implant failures in mandibles. The cumulative success rates in the maxilla at 5 years were 98% for tilted implants and 93% for non-tilted implants. Paresthesias of the mental nerve were observed on 4 sides during the first 2 to 3 weeks after implant placement. Analysis of the load distribution in one mandibular case showed no significant difference between tilted and the non-tilted implants, and the improved prosthesis support was confirmed. Satisfactory medium-term results concerning osseointegration and significant extension of prosthesis support show that the method can be recommended. This technique may allow for longer implants to be placed with improved bone anchorage.

Adult↗
PubMedDate not supplied

Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of procedure.

The purpose of this investigation was to modify the method for implant placement in the posterior parts of the arches for fixed implant-supported prostheses using minimally invasive surgery. Eighty-six implants were placed posterior to the mental foramina in patients with severely resorbed mandibles, and 75 implants were placed in the posterior severely resorbed maxilla. Bone grafting from the mandible to the maxillary sinus was performed in 9 patients with severely atrophic maxillae. In all patients, optimal use of the anatomic features of the arch was achieved by tilting the implants. Patients were followed up for 12 to 123 months after prosthesis connection (mean 18 months). Three maxillary implants were lost at the time of abutment connection: 1 in the pterygoid plate, 1 close to the posterior sinus wall, and 1 placed in the palatal cortex. One implant was mobile approximately 1 year later, apparently because of an ill-fitting prosthesis. In the mandible, no implants were lost. The method described for the treatment of edentulous arches represents an alternative therapy to several others currently in use. This minimally invasive surgical procedure should be applicable in an outpatient clinic for treatment of severely resorbed posterior portions of the arches with implant-supported prostheses.

Adult↗
PubMedDate not supplied

A modified method of simultaneous bone grafting and placement of endosseous implants in the severely atrophic maxilla.

The purpose of this investigation was to clinically evaluate the modified method for surgical rehabilitation of severely atrophied maxillae with titanium implants. In 35 patients, sinus lift, Le Fort I osteotomy, and a downtilting of the maxilla were performed. Bone grafts from the iliac crest, placed between the sinus mucosa and the sinus floor, were secured with three to four Bränemark titanium implants 10 to 20 mm in length on each side. The osteotomized maxilla was stabilized with miniplates. The observation period was between 1 and 4 years after abutment connection. The rate of successful osseointegration was 86.6%.

Adult↗