Rapidly growing mass in the parotid gland.
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Adolescent↗
Biomedical subjects
M T Goupil
Publications and source records attributed to M T Goupil.
Occupational health and safety emergencies.
When considering potentials emergencies in the dental office, one usually first thinks about potential drug reactions or adverse response to underlying systemic diseases. The rare, but potential, emergencies arising from the office environment itself also exist. Toxic reactions to various chemicals found in the office must be considered also. Adequate ventilation helps prevent the long-term consequences of breathing nitrous oxide and chemclave exhaust. Care must be taken in obtaining complete medical histories. Identify patients with communicable diseases such as TB. The potential for transmission of these infections to office staff and other patients exists. Health histories must include the ability to identify patients with latex sensitivity. The increased use of latex products among health care workers has resulted in a higher incidence of latex sensitivity. The office staff must be prepared to recognize and quickly treat anaphylactic reactions. A latex-free environment must be provided for high-risk patients. Even with the use of universal precautions, blood contamination exposures and needle sticks will still occur. Protect office staff against hepatitis through the administration of a hepatitis prevention vaccine. Establish a protocol in advance for handling blood exposure incidents. Update the patient history to determine potential risk. The exposed individual must receive counseling as to the potential risk of HIV infection. If there is a potential risk of HIV contamination, the exposed individual must be offered the opportunity to initiate prophylactic chemotherapy within 1 hour of exposure. Even though occupational health and safety emergencies are rare, they must be considered and planned for. Contingency plans, such as providing a latex-free environment, must be available for preventing emergencies. The office staff must be prepared to treat immediate emergencies such as anaphylaxis and caustic material spills. Arrangements must be available to quickly handle exposure to communicable infections.
Air Pollutants, Occupational↗
A monitoring and evaluation study of third molar surgery complications at a major medical center.
This monitoring and evaluation study of third molar surgery complications took place over a 6-month period of time. The goal of the study was to determine complication rates following third molar extraction. A comparison was made between the staff's and residents' post-operative complication rates and patients receiving tetracycline powder in the extraction sockets vs. no antibiotics. Complication rates were compared in males vs. females, and in four different age groups. The study helped improve patient care by showing that alveolar osteitis rates decreased when all patients received topical tetracycline. It also confirmed that the experience of the surgeon, patient age, and gender influence complication rates.
Adolescent↗
Preoperative and operative considerations in malignant hyperpyrexia.
Malignant hyperpyrexia is a condition characterized by fever and often by skeletal muscle rigidity usually triggered by the administration of general anesthetic agents. A review of the current literature is given to emphasize preoperative and operative considerations. An uncomplicated case is presented to illustrate the special care that these individuals require.
Adult↗
Hyperbaric oxygen in the adjunctive treatment of chronic osteomyelitis of the mandible: report of case.
A case of chronic osteomyelitis has been presented to show the effectiveness of hyperbaric oxygen in treatment of this disease. Surgical intervention is needed, as are adequate cultures, even though the cultures may be difficult to obtain and identify. Because the antibiotic therapy may need to be changed during the course of the disease, the selection of antibiotics should be dictated by positive cultures as well as the clinical course. Antibiotic therapy is needed for four to six weeks after abatement of symptoms.
Child↗
Single-implant segmental osteotomy: a case report.
This case report describes the use of a single-implant osteotomy in repositioning a significantly malaligned, osseointegrated endosseous implant. This technique represents a modification of the single-tooth osteotomy that has been used for many years to reposition the natural dental unit. It provides the dental practitioner with a treatment alternative that is safe, cost-effective, and predictable. The goals of the procedure, the surgical technique employed, and the clinical result are presented.
Adult↗