scholarly journals The Onset of Enhanced Intestinal Permeability and Food Sensitivity Triggered by Medication Used in Dental Procedures: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Aristo Vojdani ◽  
Jama Lambert
Keyword(s):  
Intestinal Permeability ◽  
Present Report ◽  
Wheat Gluten ◽  
Secretory Iga ◽  
Dental Procedure ◽  
Food Sensitivity ◽  
Gut Dysfunction ◽  
Dental Procedures ◽  
Bacterial Endotoxins ◽  
The Many

Enhanced intestinal permeability and food sensitivity are two of the many proven causes of gastrointestinal disorders. This present report describes a woman with no previous gastrointestinal (GI) complaints, who underwent dental root canal, bone graft, and implant procedures. Postsurgery she experienced an allergic reaction to the combined medications. In the weeks that followed, she presented with multiple food intolerances. Four weeks after the final dental procedure, she was assessed serologically for mucosal immune function, salivary, and blood-gluten reactivity, intestinal permeability, and other food sensitivities. Compared to her test reports from two months prior to her first dental procedure, the patient’s results showed high total secretory IgA (SIgA) and elevated salivary antibodies to alpha-gliadin, indicating abnormal mucosal immunity and loss of tolerance to gluten. Her serologic assessments revealed immunoglobulin G (IgG) and IgA antibodies to a range of wheat/gluten proteins and peptides, gut bacterial endotoxins and tight junction proteins. These test results indicate gut dysbiosis, enhanced intestinal permeability, systemic gluten-reactivity, and immune response to other dietary macromolecules. The present case suggests that patients who experience severe allergic or pseudoallergic reactions to medication should be assessed and monitored for gut dysfunction. If left untreated this could lead to autoimmune reactions to self tissues.

scholarly journals Involvement of gliadin, a component of wheat gluten, in increased intestinal permeability leading to non-steroidal anti-inflammatory drug-induced small-intestinal damage

PLoS ONE ◽  
2019 ◽  
Vol 14 (2) ◽  
pp. e0211436 ◽  
Author(s):  
Sunao Shimada ◽  
Tetsuya Tanigawa ◽  
Toshio Watanabe ◽  
Akinobu Nakata ◽  
Naoki Sugimura ◽  
...  
Keyword(s):  
Intestinal Permeability ◽  
Wheat Gluten ◽  
Intestinal Damage ◽  
Drug Induced ◽  
Inflammatory Drug ◽  
Small Intestinal ◽  
Anti Inflammatory

An Alternative Method to Treat Ankyloglossia

2016 ◽  
Vol 40 (4) ◽  
pp. 319-321 ◽  
Author(s):  
Gabriel Ferreira Nicoloso ◽  
Iuri Silveira dos Santos ◽  
Jorge Abel Flores ◽  
Bruno Lopes da Silveira ◽  
Marta Dutra Machado Oliveira
Keyword(s):  
Clinical Report ◽  
Alternative Technique ◽  
Tongue Movement ◽  
Laser Device ◽  
Laser Technology ◽  
Dental Procedures ◽  
Surgical Pain ◽  
Surgical Field ◽  
The Many ◽  
Lingual Frenum

Ankyloglossia entails short lingual frenum, impairing satisfactory tongue movement and leading to problems related to deglutition, feeding and diction. This clinical report uses laser technology, rather than traditional surgical procedure with scalpel, to perform a lingual frenulotomy on a 9-year old child diagnosed with ankyloglossia, aiming to investigate more conservative and less traumatic dental procedures. Due to the many advantages of the laser device, such as bloodless surgical field, absence of sutures, minimal swelling and post-surgical pain, the high intensity diode laser is a viable alternative technique in soft tissue surgeries.

scholarly journals Reducing Nasopharyngeal Trauma: The Urethral Catheter–Assisted Nasotracheal Intubation Technique

2011 ◽  
Vol 58 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Allen Wong ◽  
Paul Subar ◽  
Heidi Witherell ◽  
Konstantin J Ovodov
Keyword(s):  
Soft Tissues ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Urethral Catheter ◽  
Alternative Methods ◽  
Nasal Intubation ◽  
Intubation Technique ◽  
Invasive Approach ◽  
Dental Procedures ◽  
The Many

Nasal intubation is an advantageous approach for dental procedures performed in the hospital, ambulatory surgery center, or dental office, when possible. Although many who provide anesthesia services are familiar and comfortable with nasal intubation techniques, some are reluctant and uncomfortable because of lack of experience or fear of nasopharyngeal bleeding and trauma. It has been observed from experiences in various settings that many approaches may be adapted to the technique of achieving nasal intubation. The technique that is described in this paper suggests a minimally invasive approach that introduces the nasoendotracheal tube through the nasopharyngeal pathway to the oropharynx in an expedient manner while preserving the nasopharyngeal structures, thus lessening nasal bleeding and trauma to soft tissues. The technique uses a common urethral catheter and can be incorporated along with current intubation armamentaria. As with all techniques, some limitations to the approach have been identified and are described in this paper. Cases with limited mouth opening, neck injury, and difficult airways may necessitate alternative methods. However, the short learning curve along with the many benefits of this technique offers the anesthesia professional additional options for excellent patient care.

scholarly journals Private Practice Pricing in the Birmingham Region

2019 ◽  
Vol 8 (1) ◽  
pp. 34-37
Author(s):  
Anant Bakshi ◽  
Raeesa Khan ◽  
Bilal Ahmed
Keyword(s):  
Dental Implants ◽  
Average Cost ◽  
Dental Treatment ◽  
Dental Procedure ◽  
Dental Procedures ◽  
Dental Intervention ◽  
The Mean ◽  
The Difference ◽  
Mean Cost ◽  
Insight Into

This study was carried out to evaluate the difference in prices for dental treatments carried out privately in general dental practice within the Birmingham area. Ten different practices were chosen at random, which were spread across Birmingham, in order to get a better insight into the differences across the districts. Their prices for pre-determined dental procedures were procured off the practices’ respective websites or through telephoning. The findings of this study have shown a wide variation in prices for each dental procedure, with the greatest variation in prices between practices being £850 for dental implants. The procedures with the lowest average cost were fissure sealants at £23.14. The procedure with the highest average cost was dental implants at £2,261.11. This study also showed that as more dental treatment was required, the mean cost for the dental intervention increased, regardless of the tooth being treated.

scholarly journals The clinical significance of intrapulpal anesthesia for painless dental procedure

2020 ◽  
Vol 36 (82) ◽  
pp. 2117-2123
Author(s):  
Nina Burić ◽  
Simona Stojanović ◽  
Kristina Burić
Keyword(s):  
Clinical Significance ◽  
Local Anesthesia ◽  
Digital Data ◽  
Google Scholar ◽  
Dental Practice ◽  
Dental Procedure ◽  
Dental Tissues ◽  
Dental Procedures ◽  
Oral Pain ◽  
Dental Profession

Introduction:The elimination of odontalgia and all other forms of oral pain that occurs on dental tissues during dental interventions is still one of the main goals in the dental profession. Aim: The aim of this paper wasto perform an analysis of the literature data on the use of supplementary intrapulpal anesthesia in clinical dental practice. Material and methods: Literature data on the use of intrapulpal anesthesia, the characteristics of this technique of supplementary anesthesia as well as the results of its application were collected. Various databases were used for this purpose, digital data from Google Scholar, Medline, Science-Direct, as well as traditional libraries with manuscripts in printed form were most often taken. Conclusion: The use of supplementary intrapulpal anesthesia in dental/endodontic practice represents a practical and successful type of local anesthesia, when standard mandibular anesthesia for the lower alveolar nerve does not provide a deep enough periinterventional analgesia for dental procedures.

scholarly journals Micromonas micros Infection of a Prosthetic Hip Joint: A Case Report and Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Abhimanyu Aggarwal ◽  
Durane Walker
Keyword(s):  
Antibiotic Prophylaxis ◽  
Hip Joint ◽  
Joint Infection ◽  
Dental Procedure ◽  
Joint Infections ◽  
Prosthetic Joints ◽  
Prosthetic Joint ◽  
Dental Procedures ◽  
Prosthetic Joint Infections ◽  
Hematogenous Seeding

Micromonas micros is an oral anaerobic Gram-positive coccus and is a commensal of the mouth, and it is rarely isolated in prosthetic joint infections (PJIs) and even less frequently related to a preceding dental procedure with eventual hematogenous seeding of the prosthetic joint. Here, we present a case of a 56-year-old male with a prosthetic hip joint who developed Micromonas micros prosthetic hip joint infection with symptoms starting a few days after a dental procedure and not having received periprocedural antibiotic prophylaxis. He recovered well with surgical intervention and antimicrobial therapy. We conducted a literature review of prosthetic hip joint infections caused by Micromonas micros as well as briefly discuss current guidelines on antibiotic prophylaxis in patients with prosthetic joints undergoing dental procedures and some knowledge gaps.

scholarly journals Endoscopic retrieval of an accidentally ingested bur during a dental procedure: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Keerthana Kunaparaju ◽  
Karthik Shetty ◽  
Vinod Jathanna ◽  
Kartik Nath ◽  
Roma M
Keyword(s):  
Case Report ◽  
Ethical Issues ◽  
Early Recognition ◽  
X Rays ◽  
Dental Procedure ◽  
Dental Procedures ◽  
Hand Piece ◽  
Physical Barriers ◽  
Medical Emergencies ◽  
Precautionary Measures

Abstract Background Accidental ingestion of a dental bur during the dental procedure is a rare, but a potentially serious complication. Early recognition and foreign body retrieval is essential to prevent adverse patient outcomes. Case presentation A 76-year old male patient, presented to the department with a chief complaint of sensitivity in his upper right back tooth due to attrition. After assessing the pulp status, root canal therapy was planned for the tooth. During the procedure, it was noticed that the dental bur slipped out of the hand piece and the patient had accidentally ingested it. The patient was conscious and had no trouble while breathing at the time of ingestion of the bur although he had mild cough which lasted for a short duration. The dental procedure was aborted immediately and the patient was taken to the hospital for emergency care. The presence and location of the dental bur was confirmed using chest and abdominal x-rays and it was subsequently retrieved by esophagogastroduodenoscopy (EGD) procedure under general anaesthesia on the same day as a part of the emergency procedure. The analysis of this case reaffirms the importance of the use of physical barriers such as rubber dams and gauze screens as precautionary measures to prevent such incidents from occurring. Conclusion Ingestion of instruments are uncertain and hazardous complications to encounter during a dental procedure. The need for physical barrier like rubber dam is mandatory for all dental procedures. However, the dentist should be well trained to handle such medical emergencies and reassure the patient by taking them into confidence. Each incident encountered should be thoroughly documented to supply adequate guidance for treatment aspects. This would fulfil the professional responsibilities of the dentist/ clinician and may help avoid possible legal and ethical issues. This case report emphasizes on the need for the usage of physical barriers during dental procedures in order to avoid medical emergencies.

scholarly journals Amnesia after Midazolam and Ketamine Sedation in Children: A Secondary Analysis of a Randomized Controlled Trial

2021 ◽  
Vol 10 (22) ◽  
pp. 5430
Author(s):  
Karolline A. Viana ◽  
Mônica M. Moterane ◽  
Steven M. Green ◽  
Keira P. Mason ◽  
Luciane R. Costa
Keyword(s):  
Controlled Trial ◽  
Secondary Analysis ◽  
Structured Interview ◽  
Major Theme ◽  
Dental Procedure ◽  
Qualitative Approaches ◽  
Institutional Review ◽  
Dental Procedures ◽  
Oral Midazolam ◽  
Children's Memory

The incidence of peri-procedural amnesia following procedural sedation in children is unclear and difficult to determine. This study aimed to apply quantitative and qualitative approaches to better understand amnesia following dental sedation of children. After Institutional Review Board Approval, children scheduled for sedation for dental procedures with oral midazolam (OM), oral midazolam and ketamine (OMK), or intranasal midazolam and ketamine (IMK) were recruited for examination of peri-procedural amnesia. Amnesia during the dental session was assessed using a three-stage method, using identification of pictures and an animal toy. On the day following the sedation, primary caregivers answered two questions about their children’s memory. One week later, the children received a semi-structured interview. Behavior and level of sedation during the dental session were recorded. Quantitative data were analyzed using descriptive statistics and comparison tests. Qualitative data were analyzed using content analysis. Triangulation was used. Thirty-five children (age: 36 to 76 months) participated in the quantitative analysis. Most children showed amnesia for the dental procedure (82.9%, n = 29/35) and remembered receiving the sedation (82.1%, n = 23/28 for oral administration; 59.3%, n = 16/27 for intranasal administration). The occurrence of amnesia for the dental procedure was slightly higher in the oral midazolam group compared with the other groups (44.8%, n = 13/29 for OM, 13.8%, n = 4/29 for OMK, and 41.4%, n = 12/29 for IMK). Twenty-eight children participated in the qualitative approach. The major theme identified was that some children could remember their procedures in detail. We conclude that peri-procedural amnesia of the dental procedure was common following sedation.

scholarly journals Dentistry during the COVID-19 Epidemic: An Italian Workflow for the Management of Dental Practice

2020 ◽  
Vol 17 (9) ◽  
pp. 3325 ◽  
Author(s):  
Matteo Peditto ◽  
Simone Scapellato ◽  
Antonia Marcianò ◽  
Paola Costa ◽  
Giacomo Oteri
Keyword(s):  
Health Workers ◽  
University Hospital ◽  
Risk Level ◽  
Two Phase ◽  
Public And Private ◽  
Face To Face ◽  
Dental Procedures ◽  
Dental Practitioners ◽  
The Many ◽  
The University

The COVID-19 outbreak has raised concerns about infection control all over the world. Among health workers, dentists are particularly exposed to the COVID-19 infection risk. The aim of this paper is to present a workflow to manage dental procedures already in use at the Dental Unit of the University Hospital of Messina. The proposed workflow accounts for the many aspects of dental practitioners’ risk in the COVID-19 era, and focuses on the assessment of patient risk level, a two-phase dental procedure management (remote and face-to-face), and the use of specific preventive measures. No cases of COVID-19 infection were detected among patients and staff of the dental unit in a two-month period of time while using this protocol. This workflow seems a promising and effective solution to manage dental procedures during the COVID-19 outbreak, and could be implemented in both public and private practices until the emergency is contained.

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