scholarly journals Comparative evaluation of efficacy of physics forceps versus conventional forceps in therapeutic extractions of premolars: a prospective clinical study

2020 ◽  
Vol 8 (9) ◽  
pp. 3322
Author(s):  
Karan V. Panchal ◽  
Navin S. Shah ◽  
Bhumi Panchal
Keyword(s):  
Soft Tissue ◽  
Oral Surgery ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Dental Extraction ◽  
Gingival Tissue ◽  
Prospective Clinical Study ◽  
Extraction Techniques ◽  
Common Procedure ◽  
Significant Difference

Background: Dental extraction is the removal of a tooth from the oral cavity and is the most common procedure performed in oral surgery. Conventional exodontia tends to cause unnecessary trauma leading to postoperative pain, loss of tissue and stress for the patient. ‘Atraumatic’ dental extraction techniques have nowadays gained popularity and in such case, physics forceps can be helpful in achieving such results. The aim of the study was to evaluate and compare efficacy of physics forceps versus conventional forceps in therapeutic extraction of premolars.Methods: A total of 35 patients requiring extraction of premolars in maxillary or mandibular arch or both arches for orthodontic treatment purpose were included and divided into groups A and B wherein right sided extractions performed with physics forceps were compared with left sided extractions carried out using conventional forceps in terms of time taken for extraction, bone and soft tissue injury, success score and pain assessment.Results: The present study suggested statistically significant difference between both the groups. Time taken for extraction, trauma to gingival tissue, bone loss, and visual analogue scale (VAS) score was significantly lesser with physics forceps group, when compared to conventional forceps group. Moreover no significant difference in success score was noted between both the groups.Conclusions: Physics forceps are comparatively superior to conventional extraction forceps in terms of lesser time taken for the procedure, lesser tendency to induce trauma to both hard and soft tissue and have been found to induce comparatively lesser pain post extraction.

Topical dimethylsulfoxide for the prevention of soft tissue injury after extravasation of vesicant cytotoxic drugs: a prospective clinical study.

1995 ◽  
Vol 13 (11) ◽  
pp. 2851-2855 ◽  
Author(s):  
G Bertelli ◽  
A Gozza ◽  
G B Forno ◽  
M G Vidili ◽  
S Silvestro ◽  
...  
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Preventive Treatment ◽  
Cytotoxic Drugs ◽  
Prospective Clinical Study ◽  
Local Cooling ◽  
Open Prospective Study ◽  
Local Burning

PURPOSE To evaluate the activity and tolerability of dimethylsulfoxide (DMSO) in the prevention of soft tissue toxicity after extravasation of cytotoxic drugs. PATIENTS AND METHODS From June 1991 to December 1994, all patients who had an extravasation during intravenous (IV) infusion of cytotoxic drugs in our institution were considered for an open, prospective study of preventive treatment with 99% DMSO, applied topically on the extravasation site every 8 hours for 7 days. Intermittent local cooling (for 1 hour three times daily) on the first 3 days was also used. RESULTS One hundred forty-four patients with extravasations of doxorubicin (n = 11), epirubicin (n = 46), mitomycin (n = 5), mitoxantrone (n = 13), cisplatin (n = 44), carboplatin (n = 6), ifosfamide (n = 14), and fluorouracil (n = 5) entered the study; 127 were assessable. Only one patient suffered an ulceration. The treatment was well tolerated, with mild local burning and a characteristic breath odor being the only side effects of DMSO application, even in cases in which treatment continued for up to 6 weeks to obtain remission of the symptoms of extravasation. CONCLUSION Topical DMSO is an effective and safe antidote that may be used with local cooling after extravasations of vesicant drugs other than those drugs for which standard interventions are defined.

Naproxen versus Acetaminophen for Therapy of Soft Tissue Injuries to the Ankle in Children

2007 ◽  
Vol 41 (9) ◽  
pp. 1368-1374 ◽  
Author(s):  
Victoria A Cukiernik ◽  
Rod Lim ◽  
David Warren ◽  
Jamie A Seabrook ◽  
Doreen Matsui ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Weight Bearing ◽  
Soft Tissue Injury ◽  
Self Report ◽  
Ankle Injuries ◽  
Intermittent Therapy ◽  
Double Blind ◽  
Significant Difference ◽  
Degree Of Disability

Background: Musculoskeletal (MSK) ankle injuries cause significant morbidity in ambulatory pediatric populations. No optimal pharmacotherapy is available. Objective: To conduct a randomized, double-blind trial to compare 2 drug therapies for soft tissue injury of the ankle. Methods: Patients (N = 77, aged 8–14 y, 61% male) with ankle injuries presenting to a regional pediatric emergency department were assigned to receive either acetaminophen (15 mg/kg 4 times a day) or naproxen (5 mg/kg 4 times a day) in a double-blind fashion on a routine basis for a 5 day period. On days 0 and 7, patients rated their degree of disability and pain on weight bearing using a 10 cm visual analog scale developed for this study. In addition, they were examined by a physician who rated pain, tenderness on palpation, and swelling using a 4 point scale. There were 3 follow-up telephone calls on days 3, 14, and 21. Adherence was evaluated by self-report and pill count. Results: Both the acetaminophen and naproxen groups had significant improvement in degree of disability and pain from day 0 to day 7. There was no statistically significant difference in outcome between the 2 groups by patient self-evaluation or physician assessment. There also was no significant difference in adverse event rates between the 2 groups, and the majority of patients in both groups felt that the medication was helpful. Conclusions: No significant difference in efficacy of pain control or improvement of disability between the naproxen and acetaminophen groups suggests no preferential advantage for naproxen over acetaminophen for MSK injuries when given on a regular basis, with concurrent supportive treatment. Possible differential benefit from intermittent therapy needs to be evaluated among children with ankle injury.

Auto seat restraint soft-tissue injury

1987 ◽  
Vol 148 (2) ◽  
pp. 458-458 ◽  
Author(s):  
DR Pennes ◽  
WA Phillips
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury

Soft tissue injury associated with intravenous phenytoin in a neonate

1994 ◽  
Vol 83 (11) ◽  
pp. 1218-1219 ◽  
Author(s):  
N. Sharief ◽  
C. Goonasekera
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury

Establishment of soft-tissue-injury model of high-voltage electrical burn and observation of its pathological changes

Burns ◽  
2009 ◽  
Vol 35 (8) ◽  
pp. 1158-1164 ◽  
Author(s):  
Chai Jia-ke ◽  
Li Li-gen ◽  
Gao Quan-wen ◽  
Shen Xiao-peng ◽  
Zhang Hai-jun ◽  
...  
Keyword(s):  
Soft Tissue ◽  
High Voltage ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Pathological Changes ◽  
Injury Model

The Hazards of Skateboard-Riding

PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 793-793
Author(s):  
◽  
Fernando Atienza ◽  
Calvin Sia
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Bone Fractures ◽  
Tissue Injury ◽  
Skull Fracture ◽  
Soft Tissue Injury ◽  
Soft Tissue Injuries ◽  
Major Surgery ◽  
Cerebral Concussion ◽  
Tissue Injuries

Skateboard-riding has become increasingly popular among Hawaii's children. The thrill of the ride and the challenge of keeping one's balance and working intricate maneuvers while speeding down a hill captures the fancy of many of our young. This sport, however, has produced an alarmingly high toll of injury and illness. Pediatricians and emergency departments of our major hospitals have seen and taken care of large numbers of patients (aged between 3 years and 35 years, but with a distribution overwhelmingly pediatric) with significant injuries which include cerebral concussion, fractures, soft tissue injuries of varying degrees of severity and complications, and injury to internal organs. During a three-month period at the Kauikeolani Children's Hospital, July to August 1975, there were 16 patients admitted with the following: seven cerebral concussions, one skull fracture, five assorted bone fractures, one soft tissue injury and infection, one retroperitoneal hemorrhage, and one instance of major surgery for removal of the spleen. During the months of August and September 1975 the Emergency Department of Straub Clinic reported the following skateboard injuries: 14 fractures, 14 soft tissue injuries, 5 lacerations, and 2 cerebral concussions. Of the 35 patients seen, three were admitted—one with an open fracture, one with cerebral concussion, and one with a skull fracture. During a four-week period (two weeks in June and July and two weeks in August and September) at the Emergency Department of Kaiser Medical Center, 66 cases of skateboard injuries were seen with six patients requiring admission for fractures and brain concussion.

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