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Biomedical subjects

M E Saravia

Publications and source records attributed to M E Saravia.

11 recordsLinked to original sources

The needleless syringe: efficacy of anesthesia and patient preference in child dental patients.

Delivery of local anesthesia in dentistry is primarily by way of a needle-tipped syringe. This procedure, when used on children, is often stressful and sometimes painful for the patient. The Syrijet is an instrument which delivers anesthesia without the use of a needle. This is accomplished by delivering the anesthetic solution under high compressive forces. The subjects were thirty-four children ranging in age between 5 and 15 years, on whom forty-five dental procedures were completed. There was a statistically significant difference in favor of the instrument, with twenty-five subjects reporting a preference for it. The instrument was completely successful in providing anesthesia in thirty-six of the forty-five procedures.

Adolescent↗

Dental management of patients after liver transplantation.

Liver transplantation over the past 10 years has become a nonexperimental therapy for patients with end-stage liver disease and offers hope to many for whom no treatment was previously available. As more patients undergo liver transplantation and survival rates continue to improve, the dental profession must adopt a protocol for dealing with these patients. With this in mind, a protocol for dental management of the patient who has had a liver transplant is presented. Two cases are presented to illustrate the importance of dental intervention.

Adult↗

Multiple idiopathic root resorption in monozygotic twins: case report.

Idiopathic root resorption of the permanent dentition is encountered occasionally during routine dental examinations. A case is presented of this relatively rare condition in monozygotic twins. Examination of siblings and the patients' mother did not show a resorptive process. A 6-month follow-up examination revealed the resorption to be arrested.

Adolescent↗

Conservative management of an impacted incisor.

There are several techniques available to the practitioner for the treatment of impacted, fully developed teeth. These techniques often involve surgical and/or orthodontic manipulation of the affected tooth. A more conservative approach was used in the case presented here, involving a boy who was 12 years 5 months old. An odontoma was surgically removed and the impacted tooth was allowed to erupt without the aid of external forces.

Child↗

Bilateral birooted maxillary primary canines: report of two cases.

X-ray examination disclosed bifurcation of both maxillary canine teeth in two unrelated patients, both four-year-old children. All other dental findings were unremarkable and their medical histories were noncontributory. Bifurcation of primary canines is an extremely rare condition.

Child, Preschool↗

Chlorhexidine as an oral hygiene adjunct for cyclosporine-induced gingival hyperplasia.

Recent advances in surgical technique and chemotherapeutic procedures have greatly increased the survival rates of organ transplantation patients. Of dental importance is the widespread use of the immunosuppressive agent cyclosporine in this special-patient population, a drug that has the potential to cause severe gingival hyperplasia as a side effect. A case is presented illustrating the use of the plaque-inhibitor chlorhexidine as a therapeutic adjunct in possibly arresting this gingival condition.

Child, Preschool↗

Cotton roll isolation versus Vac-Ejector isolation.

A visible-light-cured, white pit-and-fissure sealant was applied to 523 teeth in school children using either cotton rolls or a VacEjector for isolation. After a minimum of six months, the patients were recalled and the retention of the sealants was evaluated. No significant difference in sealant retention was found between the two isolation methods.

Acid Etching, Dental↗

Improving children's oral hygiene through parental involvement.

This study evaluated whether preschool children's oral hygiene would improve, if the parent, after receiving professional instruction, could demonstrate proficient toothbrushing. In the experimental group, twenty-four parents received a clinical demonstration and verbal instruction in the scrub-brush technique. They were asked to demonstrate proficiency in brushing their children's teeth using this technique. In the control group, twenty-six parents received the same brushing instructions, but did not clean their children's teeth. Baseline and four-week follow-up plaque and gingival scores showed improvement only in the plaque score (p less than .05) for the experimental group. Gingival scores were unchanged. These results indicate the advantage of parental participation in their child's dental care, especially in the case of new patients.

Child, Preschool↗

Cardiopulmonary parameters during meperidine, promethazine, and chlorpromazine sedation for pediatric dentistry.

Twenty pediatric patients were sedated with a meperidine, Promethazine and chlorpromazine drug combination prior to dental rehabilitation. Heart rate, blood pressure, and oxygen saturation were recorded throughout the procedures, as well as level of patient cooperation. There were no statistically significant changes in either heart rate or blood pressure. Forty-seven percent of subjects treated experienced a decline in oxygen hemoglobin saturation. Fifty percent of the patients were well sedated and cooperative, with another forty-five precent exhibiting moderate sedation but an increased incidence of behavioral management difficulties. All procedures were completed on 95% of patients. One case (5%) was aborted because of uncontrollable patient behavior following initiation of dental procedures.

Child↗

Autogenous third molar transplantation: report of case.

This case reports the surgical autogenous transplant of a third molar into a first molar recipient site. No antibiotic therapy was prescribed. Mechanical stabilization was minimal, because most of the splinting was provided by the adjacent teeth. Twenty-one months postoperatively, the tooth exhibited normal growth and absence of morbidity. The only abnormality was a decrease in the size of the pulp chamber.

Adolescent↗