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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 145 records · Page 8Linked to original sources
PubMed1977

Exposure to anesthetic waste gas in oral surgery.

Exposure to nitrous oxide and halothane during oral surgery was monitored using a Miran infrared analyzer. A "typical" time-weighted analysis exposure was established for the surgeon, assistant, and anesthetist. Values for halothane ranged from 7.5 to 59 ppm, and for nitrous oxide, from 280 to 90,000 ppm.

Adolescent↗
PubMed1978

An evaluation of enflurane as an amnesic agent for outpatient oral surgery.

An alternative to general anesthesia for outpatient oral surgery that creates a state of cooperative amnesia without eliminating the patient's protective reflexes has been developed. Enflurane, 1.5%, administered via a nasal mask produced a high incidence of amnesia with all patients remaining cooperative, with protective reflexes intact.

Adolescent↗
PubMed1978

Nitrous oxide pollution levels in oral surgery offices.

Nitrous oxide pollutant levels, surveyed in oral surgery offices in Southern California, were lower than previously reported. These evaluations were related to rebreathed gas samples obtained from the operator and assistants, and appear to correlate well with exposure to nitrous oxide contamination. The lower levels in the hallway were tenfold less than those previously reported. Better air-conditioning in these offices and better airway control could be responsible, in part, for the difference.

Air Pollutants↗
PubMed2002

[The current status and problems of nursing for outpatients department of oral surgery of dental university hospitals in Japan].

Recently, the need for outpatient nursing services attached to general clinics has increased because of the shortening of hospitalization periods and the promotion of home care. The number of outpatients in the field of oral surgery is expected to continue increasing as the number of elderly patients increases and hospitalization periods decrease; therefore, the quality of outpatient nursing services must be improved. In the present study, a questionnaire was distributed to dental university hospitals, to clarify the present condition of outpatient nursing services in the department of oral surgery. The results of the survey showed that nurses routinely provide treatment at oral surgery outpatient clinics, where they perform pre-hospitalization orientations, consultations, and instruction and guidance for patients. Outpatient nurses must be able to help a wide range of patients, from children to the elderly; the contents of the consultations, instructions and guidance performed by the nurses, are also wide-ranging, including social life issues and oral disability rehabilitation. Thus, the various types of support care performed by nurses play an important role in the efficacy of oral surgery outpatient clinics, by contributing to maintenance and improvement of patients' social life and quality of life. However, the survey also found that outpatient services sometimes suffer from a lack of resources, including personnel and facilities. Furthermore, a fee-charging system for nursing services does not presently exist. Active cooperation between dental professionals and oral surgery clinic nurses, and strong appeals to hospital administrative departments, are thus necessary to resolve these problems.

Ambulatory Surgical Procedures↗
PubMed1995

Detection of hepatitis C virus RNA in the cell fraction of saliva before and after oral surgery.

The presence of hepatitis C virus (HCV) RNA in serum, whole saliva, and saliva from the submaxillary glands was investigated before and after oral surgery. The presence of HCV RNA (positive and negative-strand RNA) was determined in serum and saliva by a nested polymerase chain reaction in 26 anti-HCV positive patients, of whom 11 were coinfected with human immunodeficiency virus-1. Oral surgery was carried out on five occasions on four of the patients. HCV RNA was detected in the sera of 23 of 26 (88%) patients, and in the saliva of 4 of the 23 (17%) of the viremic patients. In all four cases, HCV RNA was detected only in the cell fraction derived from centrifugation of whole saliva. Negative-stranded HCV RNA was not detected. At one of five occasions of oral surgery, HCV RNA was detected in saliva sampled immediately after surgery, but not before or 24 hours after surgery. The results suggest that HCV is present in saliva in less than 25% of HCV viremic persons. The presence of the virus in saliva is restricted to the cell fraction. Thus, saliva may serve as a possible, but low, nonparenteral transmission route of HCV. Contamination of saliva by blood during and after oral surgery may result in an increased risk of viral exposure. Except for trauma caused by sharp instruments during surgery, this might contribute to the higher HCV seropositivity found among dentists.

Dentists↗
PubMed1976

Micropunctures of rubber gloves used in oral surgery.

In 720 operations in ambulatory oral surgery, the 2,880 surgical rubber gloves used were tested at the end of operation for perforations not earlier detected (microperforations). Gloves of ordinary thickness (type A) and of a thicker quality (type B) were examined. Perforations were found in 1495% and 22.0% of type A gloves and in 3.2% and 2.0% of type B gloves when oral surgeons and dental students, respectively, were operators. Gloves worn by operation assistants showed a lower incidence of perforation. Before operation, 50 gloves of type A were punctured at the tip of right index finger by a sterile dental probe. Results of bacteriologic examinations of the right index and middle fingers strongly indicated that a high number of bacteria passed through pinholes in the gloves. The intact surgical glove represents an impermeable barrier, protecting not only the operation wound against skin bacteria from the hands of the oral surgeon, but also the oral surgeon against pathogenic microorganisms, in particular hepatitis virus type B, escaping from the oral cavity of the patient.

Antisepsis↗
PubMed2000

Referral patterns and the referral system for oral surgery care. Part 2: The referral system and telemedicine.

OBJECTIVE: To investigate GDP opinions of the current referral system and to investigate the need and demand for telemedicine in oral surgery referrals. DESIGN: Postal questionnaire. SETTING: 400 GDPs in Greater Manchester. RESULTS: 84% participation rate. 48% were not satisfied overall with the service of their current specialist oral surgery referral site. The principal reason was the length of the waiting time for consultation and treatment. Distance for patients to travel to the specialist unit was also of concern, even though most patients (89%) travelled short distances (return journey of twelve miles or less). 23% of respondents wished to improve their ability to communicate with the oral surgeon and 70% wanted involvement in the patient consultation. Both of these requirements were more likely in younger practitioners. CONCLUSION: There is a need and demand for change in the referral system for oral surgery specialist care. Telemedicine could conceivably be one way to improve access to specialist oral surgery care.

Adult↗
PubMed2002

Complications in HIV-infected and non-HIV-infected haemophiliacs and other patients after oral surgery.

Dental extractions and other oral surgical procedures, including local analgesic injections, potentially can cause problems in haemophiliac and HIV infected persons. There are few data on treatment results in HIV-infected haemophiliacs compared with non-HIV-infected haemophiliacs. The oral surgery treatment results in 48 patients with special needs, including HIV-infected haemophiliacs, non-HIV-infected haemophiliacs, HIV-infected non-haemophiliacs, and a group with other medical problems were therefore studied. Around 20% of the haemophiliacs developed post-oral surgical complications, which was not significantly different whether or not they were HIV-infected. However, complications were less frequent (8%) in HIV-infected non-haemophiliacs or other patients with special needs. Although the patient groups are not large, it would appear that haemophiliacs had more postoperative complications but that the presence of HIV infection had no notable influence on treatment outcome.

Adult↗
PubMed2000

The minor oral surgery outcome scale: a multi-attribute patient-derived outcome measure.

PURPOSE: The purpose of this study was to produce a clinically useful, patient-derived, minor oral surgery outcome scale. PATIENTS AND METHODS: Seventy-seven consecutive patients scheduled for minor oral surgery were interviewed using semistructured interview techniques to identify those areas of life (domains) that patients believed will be affected by minor oral surgery. These interviews were analyzed by a multidisciplinary panel and a scale based on 5 domains, each with 4 outcome statements was constructed. The domains and outcome statements were weighted in terms of importance by a further consecutive sample of 100 patients using resource allocation and visual analog tasks. An additive mathematical formula was applied to the mean weights for each domain and outcome states to produce the final weighted scale. RESULTS: Five domains were identified from the interviews and weighted according to their order of importance (0 to 100 scale; 0 = least important). These were general health and well-being (24.6); impact on home/social life (20.8); health and comfort of the mouth, teeth, and gums (20.0); appearance (18.8); and impact on job/studies (15.8). CONCLUSION: A clinically applicable, multi-attribute outcome scale has been produced that takes into account all determinants of health outcome as perceived by the patient in the context of minor oral surgery. It is completed by selecting a weighted statement from each domain, the sum of which constitutes the patient's health state utility score. The scale has potentially extensive application to both clinical care and research.

Adolescent↗
PubMed1998

Development and evaluation of a computer-aided learning package for minor oral surgery teaching.

'Aspects of Minor Oral Surgery' is a highly interactive software program that was commissioned by the Department of Health, England, as part of the continuing education opportunities of general dental practitioners. The content of the program is also suited to the education of senior clinical dental students. The beta (pre-release) version was evaluated by 67 general dental practitioners, who completed a questionnaire on aspects of the program's functionality. Responses on its usefulness as an educational tool were 78% positive and 4% negative. In comparing the program to other educational media on the same subject, 77% felt it was better than video, 69% said it was better than textbooks, and 80% preferred it to journals. Its main strengths were judged to be the high level of interactivity, the ease of navigation and use, and the quiz section. The quality of the images of surgical procedures displayed in the slide shows was judged to be a weakness, and this problem was addressed in preparing the final version. Ten UK academic and four health service senior oral surgeons were also asked to give feedback on the program's content, and these points were also incorporated in the final text. More than 1,600 copies of the program have been taken up by general dental practitioners so far. The program may be downloaded for evaluation via the internet.

Adult↗
PubMed1992

Comparison of nalbuphine and fentanyl as intravenous analgesics for medically compromised patients undergoing oral surgery.

This study compared the efficacy and side effects of equianalgesic doses of nalbuphine and fentanyl as intravenous (IV) analgesics for medically compromised patients undergoing oral surgery with local anesthesia. A total of 24 inpatients scheduled for oral surgery and with an ASA physical status of 3 or 4 were randomly assigned to two treatment groups and received IV analgesia with an injection of either 0.2 mg/kg nalbuphine or 2 micrograms/kg fentanyl. Three minutes later, local anesthesia was administered. Respiratory rate, heart rate, arterial blood pressure, and oxyhemoglobin saturation (SpO2) were recorded before and during surgery. After the operation, the patient, surgeon, and anesthesiologist were asked to complete questionnaires regarding drug effects. Analgesia and sedation appeared sufficient and comparable according to the surgeon, anesthesiologists, and patients in the two groups, and there were no significant differences in blood pressure or heart rate. Respiratory rate and SpO2 were lower in patients treated with fentanyl (P < 0.05), and eight patients of this group experienced episodes of oxygen desaturation (SpO2 < 90%) compared with only two patients who received nalbuphine (P < 0.05). Nalbuphine produced less respiratory depression and should be considered a suitable alternative to fentanyl for use in medically compromised patients undergoing oral surgery.

Adult↗