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Biomedical subjects

P G Rout

Publications and source records attributed to P G Rout.

16 recordsLinked to original sources

A new oral surgery teaching model.

An anatomical model for teaching the practical aspects of routine oral surgery in a clinical or laboratory environment, is described. Replaceable sections allow the model to be rapidly re-used so that successive students may practise procedures such as incisions, flap reflection, bone removal, tooth removal, apicectomy and suturing. Keeping the cost per procedure to a minimum was considered to be of fundamental importance and this has been achieved through the use of 'factory produced' replacement parts.

Equipment Design

Concentration of cefuroxime in mandibular alveolar bone following a single preoperative dose.

A pilot study was undertaken on 12 patients undergoing the bilateral removal of impacted mandibular wisdom teeth to determine the level of cefuroxime sodium within the alveolar bone adjacent to the third molar teeth following a single preoperative intravenous administration. The results indicated that a single 1.5 g intravenous bolus injection provided satisfactory alveolar bone concentrations for routine antibiotic prophylaxis at the time of wisdom tooth removal.

Alveolar Process

Gingival Kaposi's Sarcoma: the first indication of HIV infection.

This article presents a case of gingival Kaposi's sarcoma that initially mimicked an acute periodontal infection, but was the first clinical sign of HIV infection in a 38-year-old male homosexual patient. The clinical features and treatment of oral Kaposi's sarcoma are discussed and the variable histopathology of the lesion is demonstrated.

Adult

A comparison of ibuprofen and dihydrocodeine in relieving pain following wisdom teeth removal.

Although dihydrocodeine (DF118) is widely prescribed by general dental practitioners, there is little evidence that it is successful in controlling post-operative dental pain. Ibuprofen is known to be effective in this situation. A single dose, double-blind study was carried out in 148 patients to compare 400 mg ibuprofen with 30 mg dihydrocodeine and placebo for treating moderate to severe pain following the removal of unilateral, impacted mandibular third molar teeth under local anaesthesia. An additional dose of either ibuprofen or dihydrocodeine was available after 2 hours. The post-operative ibuprofen reduced pain and produced more pain relief than dihydrocodeine or placebo. Furthermore, fewer patients receiving ibuprofen took additional analgesic at 2 hours. Patients who received ibuprofen as supplementary medication also experienced less pain and had greater pain relief than those receiving dihydrocodeine as supplementary medication, even when their post-operative treatment had been placebo. More patients reported the medication as having been effective if they took ibuprofen either post-operatively or as supplementary analgesia. Ibuprofen is an appropriate analgesic for treating post-operative dental pain.

Adolescent

Human tissue response to porous hydroxyapatite implants. A case report.

Histological examination of 2 porous hydroxyapatite implants removed from a patient showed a pattern of ossification similar to that reported in a previous animal study. New bone was laid down on the surface of the hydroxyapatite but did not progress to occupy all the pores. Although porous hydroxyapatite blocks are biocompatible and well tolerated by the tissues, they are not recommended for augmentation of the resorbed alveolar ridge where the overlying mucosa is thin and atrophic, because of the risk of mucosal dehiscence and implant exposure. They are suitable in situations where they are deeply buried in the tissues and not subjected to direct trauma.

Alveolar Ridge Augmentation

The post-operative maxillary cyst. Experience with 23 cases.

23 cases, diagnosed as post-operative maxillary cyst, from outside Japan are described. Clinical, radiographic and histopathological features are not dissimilar to those cases reported from Japan, and various parameters have been found to be helpful in diagnosis. This lesion is more common outside Japan than previously suggested, and this is probably largely due to faulty diagnosis.

Adult

Ridge augmentation using solid and porous hydroxylapatite particles with and without autogenous bone or plaster.

Edentulous areas of dog jaws were augmented with solid or porous particles of hydroxylapatite (HA) alone, or combined with either finely crushed autogenous bone or plaster of paris. At the end of the experiment (24 weeks), the augmented ridges were firm and stable and covered with healthy mucosa. The ridges augmented with only porous particles of HA demonstrated a greater amount of bone ingrowth compared with the solid, dense particles. The new bone formation occurred in those parts of the implants adjacent to the underlying alveolar bone. The addition of autogenous bone to the HA particles did not enhance bony deposition, and none of the autogenous bone chips survived for 24 weeks. The amount of new bone in the ridges augmented with plaster of paris and HA was similar to the other groups, and the plaster did not interfere with healing. There was evidence of resorption of the underlying cortical bone in many of the specimens.

Alveolar Process

Recurrent swelling of the upper lip. A case report.

Recurrent swelling of the lips may be due to a number of causes. A case is presented of recurrent swelling of the upper lip caused by trauma from a displaced and apically dilacerated 1. There was abnormal development of 32 which were also displaced although 123 appeared unaffected. The surgical, endodontic and orthodontic management of this problem is discussed.

Child

Plagiocephaly.

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Adult