Potentially dangerous advice: "take these antibiotics and come back in a week". Report of four cases.
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Acute Disease↗
Biomedical subjects
R D Zallen
Publications and source records attributed to R D Zallen.
Butorphanol/diazepam compared to meperidine/diazepam for sedation in oral maxillofacial surgery: a double-blind evaluation.
Butorphanol and meperidine, each combined with titrated diazepam, 10 to 20 mg, were compared in a randomized, double-blind trial for their sedative-analgesic effects. The fifty patients underwent multiple dental extractions under local anesthesia and sedation in an outpatient clinic. Butorphanol was significantly superior to meperidine with respect to the diazepam dose required to achieve the target level of sedation, the total diazepam dose administered, the clinical level of sedation, the surgeon's overall evaluations of effectiveness and of sedation level, and several patient evaluation parameters measured at discharge from the recovery room and at follow-up interview. All study drugs were well tolerated. Butorphanol offers clinical advantages over meperidine when combined with diazepam for sedation analgesia in outpatient oral surgery.
Adolescent↗
Equipment failure during mandibular staple bone plate insertion and a technique to resolve it.
Fracture of the set screw on the drill guide used for placement of the mandibular staple bone plate resulted in inability to remove the apparatus. The problem was resolved by cutting the director rods.
Bone Plates↗
Occlusal acrylic index used to observe palatal bone cuts.
The use of an acrylic occlusal index prior to wiring a full palatal coverage splint into place offers an easy way to check for "hang-up" areas and help in placement of bone grafts while the segments are held in the predetermined position.
Acrylic Resins↗
Multiple impacted supernumerary teeth.
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Adult↗
Comments on "general practice residency programs".
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General Practice, Dental↗
Use of a metallic nasal tube protector during maxillary osteotomy.
A technique is described for use of a metallic nasal tube protector to guard against accidental cutting into the endotracheal tube, its pilot tube, or an esophageal stethoscope when performing maxillary osteotomy.
Humans↗
An unusual case of deciduous impacted molar.
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Adult↗
Numb-chin syndrome secondary to a spontaneous hemorrhage into a mandibular cyst: report of case.
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Bone Cysts↗
Antibiotic therapy in oral and maxillofacial surgery.
Too frequently, antibiotics are used unnecessarily for routine dental procedures. Good surgical techniques, immaculate postoperative oral hygiene, and close follow-up are sufficient in many situations. In infectious processes, culture and snesitivity testing should be used to determine the cause of infection before surgical or antibiotic therapy is given. A conservative approach should provide adequate care and minimize the gross overuse of antibiotics.
Anti-Bacterial Agents↗
Use of Kirschner wires for securing acrylic splints to the maxilla.
A technique is described for securing a splint to the maxilla in instances where there is adequate alveolar bone without having to use circumzygomatic or nasal wiring.
Acrylic Resins↗
Letter: Misuse of antibiotics.
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Anti-Bacterial Agents↗
Treatment of mandibular fractures with use of malleable titanium mesh: report of 56 cases.
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Adolescent↗
Comments on February guest editorial.
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Education, Dental↗
A study of antibiotic usage in compound mandibular fractures.
The need for antibiotic coverage in compound mandibular fractures was tested in 64 patients with fractures in tooth-bearing areas in a study that began in January 1971 and ended in May 1974. Half of the patients received antibiotic coverage as part of the management of their fractures; the other half did not receive antibiotics. Problems related to infection at a fracture site developed in only 6.25% of patients treated with antibiotics. Infections directly associated with fractures developed in 50.33% of patients who did not receive antibiotic coverage.
Anti-Bacterial Agents↗
A dental and facial anomaly not previously reported with VACTERL association: report of case.
A case of VACTERL association has been presented in conjunction with possible hemifacial microsomia and fused teeth. Although the etiology of VACTERL association and hemifacial microsomia is unclear, the similarity of symptoms would suggest a common cause. A retrospective study of patients previously diagnosed with VACTERL association might reveal additional symptoms of dental and/or facial anomalies and warrant changing the acronym to VACTERL-DF in recognition of these dentofacial findings.
Abnormalities, Multiple↗