Base de dados : MEDLINE
Pesquisa : E06.892 [Categoria DeCS]
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[PMID]:28468163
[Au] Autor:Abukawa H; Kono M; Hamada H; Okamoto A; Satomi T; Chikazu D
[Ad] Endereço:*Oral and Maxillofacial Surgery Service, Tokyo Medical University Hachioji Medical Center †Department of Oral and Maxillofacial Surgery, Tokyo Medical University Hospital, Tokyo ‡Oral and Maxillofacial Surgery Service, Tokyo Medical University Ibaraki Medical Center, Ibaraki §Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Tokyo, Japan.
[Ti] Título:Indications of Potassium Titanyl Phosphate Laser Therapy for Slow-Flow Vascular Malformations in Oral Region.
[So] Source:J Craniofac Surg;28(3):771-774, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Indications for laser therapy for slow-flow vascular malformations in the oral and maxillofacial regions have not been clearly documented. The authors aimed to estimate the frequency of resolution of slow-flow vascular malformations and to identify risk and prognostic factors associated with resolution in potassium titanyl phosphate (KTP) laser treatment. METHODS: This study was designed as a prospective cohort study. Patients who had diagnosed slow-flow vascular malformations were continuously assigned to receive KTP laser therapy. All patients had intralesional laser photocoagulation performed under local anesthesia. Administered power of the KTP laser was fixed at 2 watts throughout the procedure in all patients. The primary endpoint was to understand the frequency of resolution of slow-flow vascular malformations in KTP laser treatment. Secondary endpoints were: treatment outcomes based on lesion size; treatment outcomes based on location; treatment outcomes based on total energy in joules; types of complications. Treatment outcomes were judged by a clinical assessment as well as reduction in lesion size on magnetic resonance imaging. RESULTS: Data were obtained from 26 patients (9 men, 17 women) with 38 lesions. The average lesion size was 13.5 ±â€Š7.7 mm. Treatment outcomes based on lesion size showed that cure and regression were obtained in lesions less than 30 mm in size. However, lesions larger than 30 mm showed no response. Lesions in the tongue and lips showed higher cure rates than in other areas. Treatment outcomes based on administered total energy in joules showed that 68% of lesions were treated and responded well at less than 400 joules. Complication rate was relatively high in the buccal mucosal lesions. Immediate postoperative complications such as necrosis were more common in high-energy administration than in low-energy administration. CONCLUSION: Our results indicated that KTP laser therapy was effective for slow-flow vascular malformations less than 30 mm in size without significant side effects.
[Mh] Termos MeSH primário: Velocidade do Fluxo Sanguíneo/fisiologia
Terapia a Laser/métodos
Lasers de Estado Sólido/uso terapêutico
Boca/irrigação sanguínea
Fosfatos
Cirurgia Bucal/métodos
Titânio
Malformações Vasculares/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Hemodinâmica
Seres Humanos
Terapia com Luz de Baixa Intensidade/métodos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Estudos Prospectivos
Resultado do Tratamento
Ultrassonografia Doppler em Cores
Malformações Vasculares/diagnóstico
Malformações Vasculares/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Phosphates); 12690-20-9 (potassium titanylphosphate); D1JT611TNE (Titanium)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003445


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[PMID]:28744895
[Au] Autor:Rice MK; Henry TJ
[Ad] Endereço:Midwest Veterinary Dental Services, Elkhorn, Wisconsin, USA.
[Ti] Título:Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010-2016).
[So] Source:Equine Vet J;50(1):48-53, 2018 Jan.
[Is] ISSN:2042-3306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Diseased cheek teeth in horses often require invasive extraction techniques that carry a high rate of complications. Techniques and instrumentation were developed to perform partial crown removal to aid standing intraoral extraction of diseased cheek teeth in horses. OBJECTIVES: To analyse success rates and post-surgical complications in horses undergoing cheek teeth extraction assisted by partial crown removal. STUDY DESIGN: Retrospective cohort study. METHODS: This study included 165 horses with 194 diseased cheek teeth that were extracted orally assisted by partial crown removal between 2010 and 2016. Medical records were analysed, including case details, obtained radiographs, surgical reports and follow-up information. Follow-up information (≥2 months) was obtained for 151 horses (91.5%). There were 95 horses examined post-operatively by the authors and, 16 horses by the referring veterinarian; in 40 horses, post-operative follow up was obtained by informal telephone interviews with the owner. RESULTS: Successful standing intraoral extraction of cheek teeth was obtained in 164/165 horses (99.4%). Twenty-five of these horses (15.2%) required additional intraoral extraction methods to complete the extraction, including minimally invasive transbuccal approach (n = 21) and tooth sectioning (n = 4). There was one (0.6%) horse with intraoral extraction failure that required standing repulsion to complete the extraction. The intraoperative complication of fractured root tips occurred in 11/165 horses (6.7%). Post-operative complications occurred in 6/165 horses (3.6%), including alveolar sequestra (n = 4), mild delay of alveolar healing at 2 months (n = 1), and development of a persistent draining tract secondary to a retained root tip (n = 1). MAIN LIMITATIONS: Specialised instrumentation and additional training in the technique are recommended to perform partial crown removal in horses. CONCLUSION: Horses with cheek teeth extraction by partial crown removal have an excellent prognosis for a positive outcome. The term partial coronectomy is proposed for this technique.
[Mh] Termos MeSH primário: Doenças dos Cavalos/cirurgia
Cirurgia Bucal/métodos
Cirurgia Veterinária/métodos
Odontopatias/veterinária
Extração Dentária/veterinária
[Mh] Termos MeSH secundário: Animais
Bochecha
Feminino
Cavalos
Masculino
Complicações Pós-Operatórias
Estudos Retrospectivos
Odontopatias/cirurgia
Extração Dentária/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1111/evj.12727


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[PMID]:29026231
[Au] Autor:Shiels D; Goodall A
[Ti] Título:Oral surgery: The drug holiday.
[So] Source:Br Dent J;223(7):464, 2017 10 13.
[Is] ISSN:1476-5373
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Conservadores da Densidade Óssea
Procedimentos Cirúrgicos Bucais
[Mh] Termos MeSH secundário: Seres Humanos
Osteoporose Pós-Menopausa
Cirurgia Bucal
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
0 (Bone Density Conservation Agents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171014
[St] Status:MEDLINE
[do] DOI:10.1038/sj.bdj.2017.846


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[PMID]:29017215
[Au] Autor:Schuh T; Stöllberger C
[Ti] Título:[Pulmonary Embolism Despite Rivaroxaban in an Obese Patient].
[Ti] Título:Pulmonalembolie trotz Rivaroxaban bei einer adipösen Patientin..
[So] Source:Dtsch Med Wochenschr;142(20):1548-1551, 2017 Oct.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Rivaroxaban, an oral factor Xa inhibitor, is approved for therapy of venous thromboembolism. It is unclear whether the standard dose for patients with a body mass index (BMI) > 40 kg/m is sufficient. The 45-year-old patient was admitted because of increasing respiratory distress. She had a history of pulmonary embolism 30 months before the admission, a factor V Leiden mutation and several hospitalisations due to dermatomycoses. The patient briefly took phenprocoumon which was changed to 20 mg rivaroxaban due to a lack of adherence. Six months before admission, the patient paused the rivaroxaban therapy because of dental surgery and suffered a recurrent pulmonary embolism. The patient presented with increasing difficulty of breathing, morbid obesity with a BMI of 59.3 kg/m and intertrigo of the lower extremities. The ECG showed a right axis deviation, a pulmonary P-wave and an incomplete right bundle branch block. Computed tomography showed pulmonary embolisms of the left lower lobe. The pulmonary artery was dilated, and the right atrium was enlarged. Venous thrombosis of the lower limb could not be certainly ruled out. The D-dimer was elevated with 5.895 mg/L (normal value up to 169 mg/L) and NT-pro-BNP was elevated at 5.580 ng/L (normal value up to 0.5 ng/L). Sixteen hours after the onset of symptoms, 22 hours after the last dose, the serum rivaroxaban level was 137 ng/ml. According to manufacturers, the therapeutic range of rivaroxaban after 2 - 4 hours is 22 - 535 ng/ml, and after 24 hours 6 - 239 ng/ml. After initiation of a therapy with low-molecular weight heparin and subsequent oral anticoagulation with phenprocoumon, the symptoms decreased. It is highly probable that the pulmonary embolism occurred at a time when the rivaroxaban level was in the therapeutic range. Since there are only few data about safety and efficacy of rivaroxaban and other non-vitamin K-oral anticoagulants (NOACs) in severely obese patients, the recommendations of the "International Society for Thrombosis and Haemostasis" should be followed: Rivaroxaban and other NOACs should not be used in patients with a BMI > 40 kg/m or weight > 120 kg, since only few data on this patient group are available. If NOACs are necessary in these patients, serum concentrations of NOACs should be measured.
[Mh] Termos MeSH primário: Obesidade Mórbida/complicações
Embolia Pulmonar/etiologia
Rivaroxabana/efeitos adversos
Rivaroxabana/uso terapêutico
Síndrome de Abstinência a Substâncias/etiologia
Tromboembolia Venosa/complicações
Tromboembolia Venosa/tratamento farmacológico
[Mh] Termos MeSH secundário: Resistência à Proteína C Ativada/complicações
Resistência à Proteína C Ativada/tratamento farmacológico
Contraindicações
Relação Dose-Resposta a Droga
Substituição de Medicamentos
Feminino
Produtos de Degradação da Fibrina e do Fibrinogênio/metabolismo
Heparina de Baixo Peso Molecular/uso terapêutico
Seres Humanos
Meia-Idade
Femprocumona/uso terapêutico
Embolia Pulmonar/diagnóstico por imagem
Embolia Pulmonar/tratamento farmacológico
Recidiva
Cirurgia Bucal
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fibrin Fibrinogen Degradation Products); 0 (Heparin, Low-Molecular-Weight); 0 (fibrin fragment D); 9NDF7JZ4M3 (Rivaroxaban); Q08SIO485D (Phenprocoumon)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-114547


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[PMID]:28987151
[Au] Autor:Lewis MAO
[Ti] Título:The Dentist of the Future: Dental Surgeon or Oral Physician?
[So] Source:Prim Dent J;6(3 Suppl):34-37, 2017 Aug 31.
[Is] ISSN:2050-1684
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Odontologia/tendências
Odontólogos/tendências
Doenças da Boca/terapia
Especialização
Cirurgia Bucal/recursos humanos
[Mh] Termos MeSH secundário: Educação em Odontologia/tendências
Previsões
Seres Humanos
Doenças da Boca/cirurgia
Odontologia Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171009
[St] Status:MEDLINE
[do] DOI:10.1308/205016817821930962


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[PMID]:28822720
[Au] Autor:Kinard BE; Abramowicz S
[Ad] Endereço:Resident, Department of Surgery, Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, Atlanta, GA.
[Ti] Título:Juvenile Idiopathic Arthritis Practice Patterns Among Oral and Maxillofacial Surgeons.
[So] Source:J Oral Maxillofac Surg;75(11):2333.e1-2333.e8, 2017 Nov.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this investigation is to assess the current clinical practices by oral and maxillofacial surgeons (OMSs) in the United States regarding diagnosis and treatment of temporomandibular joint (TMJ) involvement in children with juvenile idiopathic arthritis (JIA). MATERIALS AND METHODS: We implemented a cross-sectional survey of academic OMSs in the United States via an electronic survey. The survey included respondent demographic data, patient volumes, diagnostic methods, and management practices for children with JIA and TMJ involvement. The results of the survey were analyzed using descriptive statistics. RESULTS: The study respondents were composed of 52 surgeons. Most respondents were men (n = 43, 87.8%), were aged 51 to 60 years (n = 20, 39.2%), were in full-time academics (n = 42, 84%), had more than 20 years of experience (n = 26, 50%), and were seeing 1 to 5 patients with JIA per month (n = 21, 46.7%). Most patients were aged 11 to 15 years (n = 22, 61.1%) and were managed with 1 to 2 systemic medications (n = 30, 81.1%). All OMSs reported evaluating TMJ involvement by reviewing patient history, clinical examination, and imaging. The most commonly used imaging modality was panoramic radiographs (n = 24, 63.2%) and magnetic resonance imaging (n = 22, 57.9%). OMSs decided to inject intra-articular medication based on history and symptoms (n = 36, 94.7%). Once in remission, patients were followed up at yearly (n = 12, 36.4%) or 6-month (n = 10, 30.3%) intervals. CONCLUSIONS: Our study shows that, in general, there is consensus among US OMSs regarding diagnosis of TMJ involvement in children with JIA. There is less concordance among the respondents regarding treatment. Currently, management of TMJ involvement in children with JIA is mostly based on expert opinions and retrospective studies. This study further highlights the need for randomized clinical trials and multi-institution collaboration to allow for evidence-based diagnosis and treatment.
[Mh] Termos MeSH primário: Artrite Juvenil/complicações
Padrões de Prática Médica
Cirurgia Bucal
Transtornos da Articulação Temporomandibular/diagnóstico
Transtornos da Articulação Temporomandibular/terapia
[Mh] Termos MeSH secundário: Adulto
Criança
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Autorrelato
Transtornos da Articulação Temporomandibular/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170821
[St] Status:MEDLINE


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[PMID]:28817607
[Au] Autor:Egger J; Wallner J; Gall M; Chen X; Schwenzer-Zimmerer K; Reinbacher K; Schmalstieg D
[Ad] Endereço:Institute for Computer Graphics and Vision, Faculty of Computer Science and Biomedical Engineering, Graz University of Technology, Graz, Austria.
[Ti] Título:Computer-aided position planning of miniplates to treat facial bone defects.
[So] Source:PLoS One;12(8):e0182839, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this contribution, a software system for computer-aided position planning of miniplates to treat facial bone defects is proposed. The intra-operatively used bone plates have to be passively adapted on the underlying bone contours for adequate bone fragment stabilization. However, this procedure can lead to frequent intra-operatively performed material readjustments especially in complex surgical cases. Our approach is able to fit a selection of common implant models on the surgeon's desired position in a 3D computer model. This happens with respect to the surrounding anatomical structures, always including the possibility of adjusting both the direction and the position of the used osteosynthesis material. By using the proposed software, surgeons are able to pre-plan the out coming implant in its form and morphology with the aid of a computer-visualized model within a few minutes. Further, the resulting model can be stored in STL file format, the commonly used format for 3D printing. Using this technology, surgeons are able to print the virtual generated implant, or create an individually designed bending tool. This method leads to adapted osteosynthesis materials according to the surrounding anatomy and requires further a minimum amount of money and time.
[Mh] Termos MeSH primário: Placas Ósseas
Arcada Osseodentária/cirurgia
Traumatismos Maxilofaciais/cirurgia
Software
Cirurgia Assistida por Computador/métodos
Cirurgia Bucal/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182839


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[PMID]:28734995
[Au] Autor:Momin M; Miloro M; Mercuri LG; Munaretto A; Markiewicz MR
[Ad] Endereço:Resident, Department of Oral & Maxillofacial Surgery, College of Dentistry, University of Illinois at Chicago, Chicago, IL. Electronic address: mmomin2@uic.edu.
[Ti] Título:Senior Oral and Maxillofacial Surgery Resident Confidence in Performing Invasive Temporomandibular Joint Procedures.
[So] Source:J Oral Maxillofac Surg;75(10):2091.e1-2091.e10, 2017 Oct.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to evaluate the level of confidence that senior-level oral and maxillofacial surgery (OMS) residents have in the management of temporomandibular joint (TMJ) disorders, determine their exposure to various invasive TMJ procedures during training, and assess their confidence in performing those procedures on completion of residency. MATERIALS AND METHODS: A questionnaire was designed, and a link to a University of Illinois at Chicago Qualtrics Survey platform (Qualtrics, Provo, UT) was e-mailed to all program directors at Commission on Dental Accreditation-accredited OMS training programs in the United States. The program directors were asked to forward the 20-multiple-choice question anonymous survey to their senior-level residents for completion. The survey included the program's demographic characteristics, resident's confidence in assessing and managing patients with temporomandibular disorders (TMDs), resident's experience performing various invasive TMJ procedures, and whether the resident believed he or she had received sufficient education and clinical experience in the management of TMJ disorders. The data were collected and summarized by use of a standard spreadsheet analysis, as well as appropriate descriptive and analytical statistical tests. RESULTS: The response rate was 28.0%. Of the 56 respondents, 52 (92.9%) reported having received instruction in nonsurgical management of TMDs. All respondents confirmed that invasive TMJ procedures were performed in their program. The most commonly performed procedure was TMJ arthrocentesis (mean rating, 3.11), followed by open TMJ surgery (mean rating, 2.82). The least-performed invasive surgical procedure was autogenous total TMJ replacement surgery (mean rating, 1.39). Eighty percent of residents reported being comfortable managing the TMD patient. The only procedure with which the respondents were highly confident was TMJ arthrocentesis (mean rating, 3.89). CONCLUSIONS: This study suggests that confidence levels in the management of the TMD patient are related directly to the invasive TMJ procedure experience obtained during residency. This finding may have implications on the practice patterns of OMS surgeons as it relates to access to care for the TMD patient.
[Mh] Termos MeSH primário: Competência Clínica
Internato e Residência
Procedimentos Cirúrgicos Bucais/normas
Cirurgia Bucal/educação
Transtornos da Articulação Temporomandibular/cirurgia
Articulação Temporomandibular/cirurgia
[Mh] Termos MeSH secundário: Chicago
Seres Humanos
Autoimagem
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE


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[PMID]:28712511
[Au] Autor:Kelly R; Walker TWM; Shanks L; McCann P
[Ad] Endereço:Dental Core Trainee in Oral & Maxillofacial Surgery, Bristol Royal infirmary, Children's Hospital and Dental Hospital, University Hospitals Bristol NHS foundation Trust, Bristol, UK. Electronic address: rebeccakelly2305@gmail.com.
[Ti] Título:Re: Medical students' understanding of oral and maxillofacial surgery: an Irish perspective.
[So] Source:Br J Oral Maxillofac Surg;55(7):e47, 2017 09.
[Is] ISSN:1532-1940
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Mh] Termos MeSH primário: Estudantes de Medicina
Cirurgia Bucal
[Mh] Termos MeSH secundário: Seres Humanos
Estudantes de Odontologia
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170718
[St] Status:MEDLINE


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[PMID]:28684827
[Au] Autor:Nelson MVB
[Ti] Título:OMFS: Notation confusion.
[So] Source:Br Dent J;223(1):3, 2017 07 07.
[Is] ISSN:1476-5373
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Odontólogos
Cirurgia Bucal
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.1038/sj.bdj.2017.559



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