Oral surgery--oral pathology conference No. 18, Walter Reed Army Medical Center. Application of a new chemical adhesive in periodontic and oral surgery.
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The articles published in the Oral Pathology section of Oral Surgery Oral Medicine Oral Pathology in 1972 and 1992 were analyzed and compared. A significant increase in the number of authors and the number of references per article was noted. There was also a significant increase in the number of articles that dealt with bacterial/viral/fungal diseases. A trend toward the origination of more articles from outside the United States was noted.
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Oral mucosa incision can allow several interventions: cellulitis or periodontal abscess opening, gingival tissue excision or repositioning or at least exposure of alveolar bone for tooth extraction or infrabony pockets' treatment. The different incisions are described with special considerations: --on the anatomic environment of the oral cavity (palatal arteries, mandibular nerve...)--on the healing patterns of the different periodontal tissues (rapid cellular turnover of the epithelial attachment for instance)--at last on the suturing for each intervention. The instrumentation needed for the different incisions is described and clinical cases are presented before, during and after oral surgery. The use of an electrical knife is noted with the contraindications of this operative procedure.
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The characteristics of speech following ablative surgery for oral malignancies are presented. The speech following cheilotomy, maxillectomy, mandibulectomy, nasopharyngeal excavation, and glossectomy is described. Emphasis is placed on glossectomy because of the prevalence of this surgery and the nature of the research being done in this area. Finally, a discussion of research needs involving the oral surgeon, dentist, and speech pathologist is presented.
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