Physician Courtesy and Patient Satisfaction in a Pediatric Plastic and Oral Surgery Department

2017 ◽  
Vol 62 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Kimberly M. Daniels ◽  
Rachel R. Yorlets ◽  
Susan J. Flath-Sporn ◽  
Brian I. Labow ◽  
Ronald R. Heald ◽  
...  
2018 ◽  
Vol 24 (4) ◽  
pp. 173-177
Author(s):  
Alizée Mouraret ◽  
Eric Gérard ◽  
Joey Le Gall ◽  
Rémi Curien

Introduction:Disseminated intravascular coagulation (DIC) is a complexe systemic disorder characterized by a widespread activation of the coagulation, that may lead to thrombosis, ischemia and finally, end-organ failure. The clinical presentation of DIC depends on the site of intravascular coagulation and the severity of the disease process. Avascular osteonecrosis is a pathological state, that can occur secondary to DIC and where a reduced vascular supply leads to ischemia and bone necrosis.Observation:A 83 years old patient was sent to the oral surgery department for tooth mobility in the premaxilla, following the diagnosis of sepsis and DIC induced acute myeloid leukemia, one month ago. The examination showed an exposed avascular bone behind the 12-11-21. A diagnosis of DIC induced osteonecrosis of the premaxilla was made. A resection surgery was then programmed.Discussion:DIC may generates thrombi that might occlude intraosseous vessels in the premaxilla, and lead to bone necrosis. The maxilla is supplied by multiple branches of external carotide artery, therefore, usually, there is a lower risk of osteonecrosis in the maxilla. Nevertheless, since 1993, 4 cases of avascular necrosis of the maxilla secondary to DIC are repported in literature.Conclusion:This kind of complication, although being rare, can be dramatic for the patient as bone and aesthetic defects. Early support and management of these complications is necessary.


2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Michele Maglione ◽  
Lorenzo Bevilacqua ◽  
Federica Dotto ◽  
Fulvia Costantinides ◽  
Felice Lorusso ◽  
...  

Purpose. Recent advances show that ultrasonic implant site osteotomy is related to a decreased trauma and a better postoperative healing of the surgical site when compared to traditional drilling techniques. The micrometric bone cutting control and the operative advantages related to the piezoelectric approach are also characterized by a learning curve for the clinician in surgical practice and an increased operative duration of the procedure. The aim of this investigation is to compare the operative time, the postoperative pain, and the amount of painkillers taken by the patient during the healing period. Methods. A total of 65 patients were treated at the Unit of Oral Surgery (Department of Medical Sciences, Surgery and Health, University of Trieste, Italy) using a split mouth model: 75 drill-inserted implants (G1) and 75 piezoelectric device-inserted implants (G2) were placed. The Visual Analogue Scale (VAS) was performed to evaluate the postoperative pain at 15 days from surgery. The operative time and frequency of intake of painkillers were measured. Results. The G1 and G2 groups showed a significant difference with a higher use of painkillers observed for G1. The G2 patients showed a lower level of pain (VAS) at all experimental times between 8 hours to 7 days (p<0.01) postsurgery. At 15 days, the pain levels were similar for both groups. No differences were found in site preparation duration between the study groups. Conclusions. The evidence supports the application of the piezoelectric approach compared to the drill’s osteotomy as a useful technique for implant site preparation. This trial is registered with NCT03978923.


2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Suhaila Muhammad Ali ◽  
Nazih Shaaban Mustafa ◽  
Muhannad Ali Kashmoola

Introduction: To investigate the pattern and major causes of tooth extraction among patients attending IIUM Kulliyyah of Dentistry Polyclinic. Materials and Methods: This is a retrospective study. Total 1036 number of tooth extraction done in the polyclinic were recorded to determine the causes of tooth extraction among patients attending the Polyclinic IIUM. Study period was from year 2012 to 2015. Collecting patients’ information was required from Pearl dental system and clinical year students’ Oral Surgery Department logbooks. Information includes patient’s name, identity card number, diagnosis and indications for dental extractions noted for each case. Other demographic features such as age, gender and race were analysed by using SPSS Chi-Square test. Result: The major causes of tooth extraction were dental caries 53.3%, periodontal problem 20.9%, impaction 7.7%, orthodontic reason 4.6%, malposted 3.6%, pre-prosthetic 0.9% and other reasons 8.9%. Among races, Malay had highest tooth extraction cases which were 85.2%, followed by Chinese 11.2%, Indian 2.8% and others 0.8%. Based on gender, female had total of 56.6% of tooth extraction while male 43.4%. Highest prevalence of extraction was patients’ age between 21 to 40 years old (44.4%) followed by age between 41 to 60 years old (35.5%). Conclusion: Dental caries is the major causes for tooth extraction among patients attending IIUM Kulliyyah of Dentistry Polyclinic.


2012 ◽  
Vol 19 (2) ◽  
pp. 158
Author(s):  
Paul Sugiyo ◽  
Heriyanti Amalia Kusuma

Latar Belakang. Operasi bedah pemotongan mandibula pada kasus tumor jinak maupun tumor ganas dapat menyebabkan deviasi mandibula. Tindakan perawatan bedah tergantung pada lokasi dan perluasan tumor mandibula, tindakan perawatan bedah tersebut meliputi bedah marginal, segmental, hemimandibulectomy, dan total mandibulectomy. Tujuan. Makalah ini menjelaskan tentang perawatan rehabilitasi dengan obturator definitive mandibula. Para klinisi harus menunggu masa penyembuhan yang sempurna sebelum disarankan untuk dibuatkan onturator definitive mandibula. Sejak awal penyembuhan diperlukan intervensi prostodontis untuk mencegah deviasi mandibula. Protesa ini membantu pergerakan mandibula secara normal tanpa terjadi penyimpangan pada fungsi bicara dan pengunyahan. Laporan Kasus. Pada bulan Maret 2012, pasien laki-laki, berumur 46 tahun datang ke RSGM Bagian Prostodonsia atas rujukan dari RS. Dr. Sardjito Bagian Bedah Mulut setelah dilakukan operasi tumor ameloblastoma mandibula sinistra (post hemimandibulectomy mandibula sinistra) dengan pemasangan plat rekonstruksi tiga bulan sebelumnya untuk dibuatkan obturator definitive mandibula. Pasien mengeluh bibir bawah sebelah kiri sering tergigit, fungsi bicara, fungsi pengunyahan, dan penampilannya terganggu. Hasil. Setelah dilakukan perawatan dengan memakai obturator definitive mandibula dalam kurun waktu 8 bulan, hingga saat ini hasil perawatan ini dapat mengembalikan fungsi bicara, fungsi pengunyahan, dan fungsi estetik sehingga pasien merasa lebih nyaman dan percaya diri. Kesimpulan. Deviasi mandibula setelah operasi hemimandibulectomy diatasi dengan bedah rekonstruksi menggunakan plat rekonstruksi, kemudian segera setelah penyembuhan perlu melibatkan prostodontis untuk pemasangan obturator definitive mandibula.  Background. Surgical restion of the mandible due to presence of benign or malignant tumor is the common cause of the mandibular deviation. Depending upon the location and extent of the tumor in the mandible, various surgical treatment modalities like marginal, segmental, hemimandibulectomy, or total mandibulectomy. Purpose. This study was to deteminated of rehabilitation treatment by mandible definitive obturator. The clinicians must wait for extensive period of the time for completion of healing before considering the definitive prosthesis. During this initial healing period prosthodontic intervention is required for preventing the mandibular deviation. This case report describes management of a patient who has undergone a reconstructed hemimandibulectomy with mandible definitive obturator. The prosthesis help patient moving the mandible normally without deviation during functions like speech, mastication, and aesthetic. Case Report. On March 2012, a 46 years old man was referred from Dr. Sardjito Hospital Oral Surgery Department to Department of Prosthodontics RSGM Faculty of Dentistry Gadjah Mada University Yogyakarta, for prosthetic rehabilitation following a hemimandibulectomy sinintra reconstructed with plate reconstruction three months ago. Patient felt speech function, masticatory function, and impaired performance, lower lip frequently bitten. Results. After treated while 8 months till now by mandible definitive obturator, patient felt more comfortable and confident with recovery function of speech, mastication, and aesthetic. Conclusion. The deviation of mandible after hemimandibulectomy was reconstructed by reconstruction plate surgery. During this initial healing period early prosthodontic intervention by mandible definitive obturator. 


1985 ◽  
Vol 31 (1) ◽  
pp. 116-125
Author(s):  
Masahiko ISOGAI ◽  
Kazuhisa FUJIMOTO ◽  
Akihide KAMEGAI ◽  
Kouichi NAITOH ◽  
Tadashi KITAJIMA ◽  
...  

2017 ◽  
Vol 24 (01) ◽  
pp. 177-181
Author(s):  
Suneel Kumar Punjabi ◽  
Munir Ahmed Banglani ◽  
Priya - ◽  
Nayab Mangi

Objectives: To evaluate the concepts & handling of needle stick injuries amongjunior dentists of city Hyderabad. Study Design: Descriptive Cross Sectional study. Setting:Dental House Surgeons & Postgraduates. Period: June 2015 to January 2016. Methodology:The study population of 200 dentists were included working either in civil or private settingsof Hyderabad, Sindh. Questionnaire designed to obtain information about their concepts andhandling regarding NSIs. Results: 75(37.5%) of them were working in Oral Surgery department,53(26.5%) in Operative dentistry, 35(17.5%) in Orthodontics, 22(11%) in Periodontology, and15(7.5%) in Prosthodontics. 77(38.5%) had idea about transmission of Hepatitis B, 89(44.5%)about Hepatitis C, & 34(17%) about HIV/AIDS by NSI. 168(84%) had knowledge aboutuniversal precautions guidelines, 16(8%) use safety devices to dispose used sharp objects.189(94.5%) had faced NSIs ever. 97(48.5%) had knowledge about post exposure prophylaxisin the management of needle stick injury. 37(18.5%) had said that they will contact to medicalemergency room if they expose to NSI, 32(16%) will contact to oral surgery department,53(26.5%) will consult with their physician & 78(39%) said that they will manage themselves.Conclusion: this study confirm that junior dentists of Hyderabad experience the NSIs but arenot liable to report them, therefore they necessitate the improvement in clinical training forpreventing & reporting all NSIs. Through Support, counseling and tutoring by their OccupationalHealth Department.


1989 ◽  
Vol 35 (2) ◽  
pp. 396-404
Author(s):  
Junichi NAKANISHI ◽  
Yoshinori SAITOU ◽  
Masami KURASAKA ◽  
Hiroki BAN ◽  
Hajime KASHIHARA ◽  
...  

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Maria Fareed Siddiqui ◽  
Umair Yaqoob ◽  
Morad Yaser Al Mostafa

Oral squamous cell carcinoma (OSCC) being the world’s most prevailing and frightening cancerousdisorder lacks the sufficient data in Pakistan despite of its higher magnitude and prevalence. Objective:This study was specifically designed and conducted with the aim to identify the frequency of this disorderalong with causative factors in past three years in a tertiary care hospital of Lahore, Pakistan. Methods:Epidemiological study was conducted using retrospective randomized method and all pre-requisites werefilled. The clinical profiles of patients were collected from Maxillofacial and Oral Surgery Department ofPathology, Mayo Hospital Lahore. Patients who had undergone treatment for OSCC were contacted andinterviewed for information about demographic regions, previous history of malignancy, disease onset,chewing habits, exposure to pesticides, industrial exposure to metals etc. and all particulars were not andcompiled on questionnaire. Results: A total of 54 patients from different districts of Punjab participatedin the study. Percentages for each possible causative chewing habit were calculated and 87.50 % ofpopulation was found addicted to different habits. Genetic factor might have contributed in remaining fordevelopment of OSCC. Conclusions: Informative data provided in this study will be helpful to be used bythe government and private health agencies while designing and planning management of oral healthproblems and allocating health budgets in focusing this issue.


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