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B Vitamins
Published in Luke R. Bucci, Nutrition Applied to Injury Rehabilitation and Sports Medicine, 2020
Intravenous administration of 10 to 30 g thiamin has exhibited analgesic effects, but after a few adverse reactions to impurities in early thiamin preparations, use of intravenous thiamin ceased.616–619 It is not known if large oral doses of thiamin have any analgesic effects. Quirin administered 1 to 2 g 1 to 2 times daily in an open field study to 133 patients with headache, arthralgia, spinal syndromes, or neuralgia that had been unsuccessfully treated with physical therapy and analgesics.620 Overall, 73% of patients showed satisfactory or very good results in reduction of pain. Eight patients who were addicted to analgesics stopped their analgesic use after thiamin supplementation. A study by Herzog, from 1953 (when food fortification was still young, and thiamin deficiency may have been more prevalent), reported that 202/225 cases of tooth extractions had good effects for pain control and rapidity of healing after intramuscular injection of 100 mg thiamin hydrochloride 30 min before operation.621 Similarly, 145/156 patients for periodontal surgery exhibited good results. However, this study did not use control groups and reported no objective data. Nevertheless, the clinical observations support data from other, better-controlled studies on the ability of large doses of thiamin to control pain in connective tissues.
Radiosurgical Instruments
Published in Jeffrey A Sherman, Oral Radiosurgery, 2020
The Macan MC-4A (Figure 5.10) is a 50-watt electrosurgical instrument. This unit has two waveforms for cut/coagulation and coagulation. The unit weighs 4 pounds and includes autoclavable electrode tips. This unit is a basic electrosurgery instrument and should not be used for any delicate periodontal surgery.
3D analysis of the clinical results of VISTA technique combined with connective tissue graft
Published in J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares, Biodental Engineering V, 2019
D.S. Martins, L. Azevedo, N. Santos, T. Marques, C. Alves, A. Correia
Patients were recruited according to the following inclusion criteria: age ≥ 18 years, non-smokers, no systemic diseases or pregnancy; periodontal health (no active periodontal disease), including ability to maintain good oral hygiene and control of gingivitis with plaque indexes and bleeding in the oral cavity of less than or equal to 25%; not taking medication that interferes with the health of the periodontal tissues or their healing; no contraindication for periodontal surgery; presence of Miller Class III, single gingival recessions in aesthetic zone, which is equal to or greater than 1 mm and does not exceed 5 mm. Natural and clearly identifiable cemento-enamel junction and not clinical mobility were also inclusion criteria.
Symptomatic treatment of dengue: should the NSAID contraindication be reconsidered?
Published in Postgraduate Medicine, 2019
David Kellstein, Luiz Fernandes
Two studies have evaluated the impact of preoperative ibuprofen administration on postoperative bleeding in the setting of periodontal surgery. In a prospective, controlled study, Shiva Prasad et al. [30] evaluated adult patients (N = 10) who required separate but similar periodontal surgeries on different quadrants, scheduled at similar times on different days. Each patient served as his/her own control, with one surgery performed following administration of oral ibuprofen (1 x 400 mg 9, 5, and 1 hours before surgery) and one with no preoperative ibuprofen. Mean bleeding time was longer following ibuprofen treatment compared with no ibuprofen treatment (2.25 min vs 1.75 min; P < 0.05), and mean intraoperative bleeding volume was also greater (15 mL vs 11.6 mL; P < 0.05). The authors noted that despite their statistical significance, the increases in mean bleeding time and mean bleeding volume were small in magnitude and that these parameters remained within the range of normal values following ibuprofen treatment [30].
Oral health-related quality of life in patients under supportive periodontal therapy
Published in Acta Odontologica Scandinavica, 2018
Sarah K. Sonnenschein, Carlota Betzler, Rebecca Kohnen, Johannes Krisam, Ti-Sun Kim
APT of all patients included three to four appointments with assessment of oral hygiene indices, oral hygiene instructions, motivation to optimize individual dental biofilm control and professional tooth cleaning. Afterwards, subgingival debridement was performed. Patients that had received APT before the year 2000 were treated subgingival by quadrant-wise scaling and root planing in combination with open flap debridement. From the year 2000 on, subgingival debridement was performed according to the concept of full-mouth disinfection (FMD) modified from Quirynen et al. [26]. If required, periodontal surgery was performed 3 to 6 months after FMD. After successful completion of APT, all patients were advised to regularly participate in the SPT program every 3 to 6 months. Since 1999, individual periodontal risk assessment according to Lang and Tonetti [27] was performed for each patient, including the patients already under SPT. Patients with a low individual periodontal risk profile were recommended to undergo SPT every 12 months. Patients with a moderate-risk profile were advised to adhere to 6-month intervals and patients with a high-risk profile to a 3-month interval. SPT appointments included assessment of oral hygiene indices, re-instruction and re-motivation to optimize individual oral biofilm control, and professional tooth cleaning. Periodontal and dental statuses were assessed at least once a year. Periodontal pockets with PPD = 4 mm and bleeding on probing and pockets ≥5 mm were re-instrumented.
Lichen sclerosus of the oral mucosa: clinical and histopathological findings. Review of the literature and a case report
Published in Acta Odontologica Scandinavica, 2018
Anna-Maija Matela, Jaana Hagström, Hellevi Ruokonen
All lesions may not need therapy depending on the site and the symptomless nature of the lesion. During follow-up, some lesions remained unchanged without therapy and in some cases improvement was reported without therapy. When left untreated, gradual spreading of the lesions (especially on the lip to the surrounding skin, or vice versa) may occur. In the gingiva, oral LS is not only an aesthetic concern. Due to gingival recessions, loss of keratinized gingiva and even loss of alveolar bone, periodontal surgery, or in the worst cases, tooth extractions were performed. When keratinized gingiva disappears around the tooth, this causes discomfort in tooth brushing, soreness and marginal gingivitis. Gingival recessions do not heal spontaneously and periodontal surgery is necessary.