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At least 19 recordsLinked to original sources
PubMed1977

[Incisions in oral surgery].

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.

Electrosurgery↗
PubMed1978

Speech considerations in oral surgery. Part II. Speech characteristics of patients following surgery for oral malignancies.

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.

Articulation Disorders↗
PubMed1978

Senior residents' opinions about oral surgery programs.

A questionnaire for senior oral surgery residents was distributed to elicit their opinions about various phases of their oral surgical training. Of 206 questionnaires sent to members of house staffs in approved programs, 122 responses (59%) were received. The average senior resident felt well prepared in exodontia, trauma, and orthognathic surgery. He considered himself much less prepared in pediatric oral surgery and tumor management. The average resident believed oral surgery was well regarded and would again choose his own program for training.

Curriculum↗
PubMed1977

Applicants' opinions about the selection process for oral surgery programs.

A survey of applicants to oral surgery graduate programs was distributed to 170 candidates requesting application forms from the University of Kentucky. Eighty-five applicants responded. The average candidate was approximately 28 years old, married, and attended dental school in the southeast or midwest. He applied to ten programs and viewed a personal interview as an important part of the application process. Traditional criteria such as basic science grades and class rank were not uniformly considered as important factors in the initial screening of candidates. Other views and criticisms of the applicants are examined and suggestions are provided to reduce some of the apparent inequities now inherent to the system.

Curriculum↗
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↗
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↗
PubMedDate not supplied

Dysrhythmias associated with oral surgery.

Seventy-eight fit adult patients undergoing minor oral surgery received one of three intravenous premedications or were unpremedicated. Cardiac rhythm was monitored during surgery. A significantly higher incidence of dysrhythmias was associated with intravenous atropine 0-3 mg/given prior to surgery. Droperidol 0-1 mg/kg did not act prophylactically as an anti-dysthythmic agent in comparison with the control group. A further trial of eighteen cases suggested that atropine 0-6 mg intramuscularly followed by controlled ventilation may be effective in preventing dysrhythmias.

Adolescent↗
PubMed1976

Emotional response to intravenous delta9tetrahydrocannabinol during oral surgery.

The administration of delta9THC intravenously as a premedicant to oral surgery resulted in acute pronounced elevations in anxiety states, a predominance of dysphoria over euphoria, and varying degrees of psychotic-like paranoiac thought. Neural effects that appeared to promote these effects included distortions of perception with sensory delusions, and heightened sensory receptiveness including antalgesic impressions of surgery; autonomic and visceral arousal greater than control or placebo levels; lack of overt behavioral signals of distress due to depersonalization; and time disintegration leading to fear-inducing misinformation about real surgical events. Introverted subjects who generally were inclined to rely on drug solutions to their problems tended to respond poorly to surgical pain and anxiety with delta9THC. These results, obtained from subjects considered to have levels of presurgical apprehension that were average or below average, suggest that the environment in which high doses of cannabinols are experienced is a potent factor in determining the quality of the emotional response. A surgical environment containing even the mild stress of outpatient oral surgery appears to have the potential to precipitate undesirable emotional responses among cannabinol-intoxicated patients. There is continued high-level social use of cannabinols inour society, with an estimate of 40% to 55% among the college-age group seen frequently by oral surgeons. Results of this study suggest that clinicians should be prepared to detect the subtle signs of marijuana intoxication to protect their patients from further psychophysiologic complications during surgery.

Adolescent↗
PubMed1975

Citanest Forte--its use in oral surgery.

A clinical evaluation of Citanest Forte (brand of prilocaine HCL) was carried out on 3,000 oral surgery patients to determine the effectiveness and safety of the drug. Citanest Forte has been found to be a useful local anesthetic, and the results of this study would indicate that it can be effectively and safely substituted for other local anesthetic solutions currently in use for all routine oral surgery procedures.

Adult↗
PubMed1975

Jaundice following oral surgery: Gilberts syndrome.

Jaundice developed in two patients following dental operations under general anaesthesia. Gilbert's Syndrome was established as the diagnosis. Caloric deprivation at the time of surgery resulted in the increased plasma concentration of unconjugated bilirubin. The pathogenesis of this not uncommon disorder and the mechanism of fasting hyperbilirubinaemia is discussed.

Adult↗