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Other Complications of Diabetes
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
When a diabetic patient must have oral surgery, his or her meal schedule may need to be changed, as well as the dosing of insulin. Abscesses or acute infections should still be treated immediately. Healing after oral surgery may take longer for diabetics. Once periodontal disease is treated successfully, controlling blood sugar levels usually becomes easier. Diabetics must have dental checkups every 3–4 months. It is important to brush and floss every day to remove bacteria that cause gum disease. A dentist must be visited at least once per year, or more if there are any warning signs or risk factors present.
Airway Surgery
Published in T.M. Craft, P.M. Upton, Key Topics In Anaesthesia, 2021
Oral surgery. Nasal intubation offers the best surgical access but an oral tracheal tube does not preclude most procedures. Nasal intubation requires antibiotic prophylaxis if a cardiac lesion is present. A pharyngeal pack is positioned prior to commencing surgery. Tracheal tubes with pre-formed angles (e.g. RAE tube) permit optimal positioning of the breathing system. For some oral surgery, a flexible LMA can be used after discussion with the surgeon.
Fractures of the Edentulous Mandible: The Chalmers J. Lyons Academy Study
Published in Niall MH McLeod, Peter A Brennan, 50 Landmark Papers every Oral & Maxillofacial Surgeon Should Know, 2020
Indran Balasundaram, Mike Perry
There is a greater rate of non-union in fractures of the atrophic edentulous mandible. Achieving accurate reduction is difficult and patients are usually elderly, with reduced osteogenesis, blood supply, and atrophic bone, further compounding a favourable outcome. As these fractures are relatively uncommon, surgeons have limited experience and the numbers required for statistical evaluation are not possible by a single surgeon or single unit. The aim of this paper was to evaluate the past experiences of the members of the Chalmers J. Lyons Academy of Oral Surgery, define the problems statistically, and make recommendations on treatment modalities.
Frequency and type of tooth extractions in adults vary by age: register-based nationwide observations in 2012–2017
Published in Acta Odontologica Scandinavica, 2023
Miira M. Vehkalahti, Irja Ventä, Maria Valaste
The classification of healthcare procedures maintained by the THL includes the subtitle of ‘Oral surgery’ for surgical procedures on lips, teeth, jaw, mouth, and pharynx [6]. Tooth extractions belong to this category where the extraction codes are with the prefix ‘EBA’. By the THL codes, we classified the extractions as (1) routine extractions (non-operative extractions under the codes EBA00 for routine extraction, EBA05 for demanding extraction, and EBA30 for root extraction), (2) surgical extractions (operative extractions under the codes EBA10 for routine operative extraction, and EBA12 for demanding operative extraction), and (3) infection control (multiple extraction under the code EBA15 that includes extraction of at least 4 totally damaged teeth per jaw, removed to eliminate the infection — for the most part as infected root remnants). The coding system was to fix the fee-based subsidization per extraction and accordingly included no codes for extraction reasons. Other codes with the prefix ‘EBA’ included hemisection, apicoectomy and coronectomy which were not taken as tooth extractions. The number of teeth extracted was the number of the corresponding tooth-based extraction codes except for the code of infection control, counted as 4 extracted teeth. Oral surgical procedures other than extractions were combined in a separate procedure group.
Risk of bleeding with dental implant surgery in patients on anticoagulant or antiplatelet drugs: a systematic review and meta-analysis
Published in Acta Odontologica Scandinavica, 2023
Much research has been conducted on the bleeding risk with dental surgery in patients under OAC or AP therapy. However, most of it has been focussed on dental extraction as it is the most common minor oral surgical procedure [7,8]. Shi et al. [7] in a recent meta-analysis of 12 studies have indicated that the risk of bleeding is greater in anticoagulated patients undergoing minor oral surgery as compared to healthy controls. The majority of studies in their review were on dental extraction with just four studies focussing on dental implants. In another study, Bajkin et al. [9] have reviewed the literature on bleeding tendencies after implant placement in anticoagulated patients but no meta-analysis was conducted in their review. Despite the widespread use of OAC and AP drugs as well as dental implantation procedures in the general population, it is still not clear how these medications influence the risk of bleeding following surgical placement of a dental implant. There is a need for evidence on the risk of bleeding with AP, OAC, different types of OAC (Vitamin K antagonists [VKAs] and direct oral anticoagulants [DOACs]), and between AP vs. OAC to guide clinical practice. Thus, this study aimed to conduct a systematic literature search and pool evidence on the risk of bleeding in patients under AP and OAC therapy undergoing dental implant surgery.
Current and emerging COX inhibitors for treating postoperative pain following oral surgery
Published in Expert Opinion on Pharmacotherapy, 2023
Joseph V. Pergolizzi, Franklin Breve, Peter Magnusson, JoAnn K. LeQuang, Guistino Varassi
The aim of our narrative review was to identify studies about the use of NSAIDs for managing postoperative pain following oral surgery and to determine if there were important differences between the many types of NSAIDs and therapeutic regimens as evidenced by clinical trials. The literature was reviewed looking for peer-reviewed articles about clinical trials involving the use of one or more NSAIDs for oral surgery. We searched for keywords ‘postoperative pain control oral surgery’ and ‘oral surgery postoperative analgesia’ and ‘NSAIDs postoperative oral surgery analgesia.’ We limited our results to clinical trials or randomized clinical trials with associated data. We excluded case reports, case studies, reviews, and commentaries. For the purpose of this article, oral surgery included dental procedures such as the extraction of impacted mandibular third-molars but excluded maxillofacial surgeries and tonsillectomies. Only studies in English with associated data in PubMed were included, providing these studies had postoperative pain control as a primary or secondary endpoint. A total of 236 results were retrieved with the initial search but upon application of the inclusion and exclusion criteria, 50 results remained and form the basis of this review. We also considered articles found in the references of these studies.