21,399 research outputs found
Oral piercing and oral diseases: a short time retrospective study.
No full textBody piercing indicates the puncturing of a part of the body in which jewelry may be worn. In recent years, oral piercing is increasingly popular especially among young people. Body piercing has to be considered as a surgical procedure to all intents and purposes and, as such, has to be performed only by qualified personnel able to assure high standards of professionalism in facilities subject to sanitary inspections. The aim of the present work is to verify what risks patients may be exposed to and what complications may occur after a healthcare professional performs oral piercing. Our retrospective study includes 108 patients (74 males and 34 females) aged between 14 and 39 years, who had oral piercing done 12±4 months earlier. All the patients underwent clinical examination to reveal the possible presence of late complications. After piercing, none of the 108 patients developed widespread complications. Although all patients said they had followed the piercers' instructions, 96% of them reported postoperative local complications such as bleeding within 12 hours of piercing (90%), perile-sional edema for 3±2 days after piercing surgery (80%), and persistent mucosal atrophy (70%). © Ivyspring International Publisher
Severe anisocoria after oral surgery under general anesthesia
No full textIntroduction. Anisocoria indicates a difference in pupil diameter. Etiologies of this clinical manifestation usually include systemic causes as neurological or vascular disorders, and local causes as congenital iris disorders and pharmacological effects. Case Report. We present a case of a 47-year-old man, suffering from spastic tetraparesis. After the oral surgery under general anesthesia, the patient developed severe anisocoria: in particular, a ~4mm diameter increase of the left pupil compared to the right pupil. We performed Computed Tomography (CT) in the emergency setting, Nuclear magnetic resonance (NMR) of the brain and Magnetic Resonance Angiography of intracranial vessels. These instrumental examinations did not show vascular or neurological diseases. The pupils returned to their physiological condition (isocoria) after about 180 minutes. Discussion and Conclusions. Literature shows that the cases of anisocoria reported during or after oral surgery are rare occurrences, especially in cases of simple tooth extraction. Anisocoria can manifest in more or less evident forms: therefore, it is clear that knowing this clinical condition is of crucial importance for a correct and timely resolution. © Ivyspring International Publisher
Use of a diode laser in an excisional biopsy of two spoonlike neoformations on the tongue tip.
No full textClinical trial with bromelain in third molar exodontia
No full textBackground and Objective: Bromelain is a proteolytic enzyme, particularly effective in the treatment of soft tissue inflammations and traumas, in localized inflammations, especially in presence of hydropsy and also in postoperative tissue reactions. The aim of the present study is to assess the efficacy of bromelain in controlling the edema and its related pain in the inflamed area after upper third molar exodontia. Materials and Methods: The effectiveness of our protocol was evaluated by a clinical assessment of the profile of the hemiface corresponding to the treated area: indeed, the linear values of the trago-pogonion distances were measured. Algogens were determined by VAS (Visual Analogue Scale) (Figure 1) with integers ranging from 1 (no pain) to 8 (maximum pain) up to a maximum of 10 (paroxysmal and unbearable pain). Results and Conclusions: The obtained results clearly demonstrate the effectiveness of bromelain in treating postoperative edema after third molar surgery
Short report of an unusual ballistic trauma.
No full textIntroduction: Portable firearms have a relevant medico-legal interest, being a major cause of injury. Bullet entry wounds generally have a particular appearance, including contusion, skin introflection, and simple or excoriated ecchymosis. The skin wound is typically a hole with frayed margins, whose diameter is smaller than that of the bullet. Presentation of case: We report the case of a 19-year-old man with ballistic trauma. Examination of the patient's lesions indicated that the bullet had entered from the left mandibular parasymphysis, creating a small hole without the typical bullet wipe and blackening. Subsequently, the bullet seemed to have fractured the left chin region immediately below the lower alveolar process, and it finally stopped in the submandibular area in the suprahyoid region of the neck. Discussion: This case is peculiar because the distinctive features of a firearm injury were absent; the lack of bleeding and edema made the case difficult to interpret without additional diagnostic investigations. Conclusion: Ballistic trauma can manifest in different ways; therefore, internal trauma should be suspected even in the absence of clear external signs. This case report shows how an unusual bullet entry hole can mask quite serious injuries. © 2011 Surgical Associates Ltd
Odontostomatologic management of patients receiving oral anticoagulant therapy: a retrospective multicentric study
No full textIntroduction: Today, we frequently find patients taking oral anticoagulant therapy (OAT), a prophylaxis against the
occurrence of thromboembolic events. An oral surgeon needs to know how to better manage such patients, in
order to avoid hemorrhagic and thromboembolic complications.
Materials and methods: A group of 193 patients (119 men aged between 46 and 82 and 74 women aged
between 54 and 76) undergoing OAT for more than 5 years were managed with a standardized management
protocol and a 2-months follow-up. The aim of the present study was to apply a protocol, which could provide a
safe intra- and postoperative management of patients on OAT.
Results: Among the 193 patients, only 2 had postoperative complications.
Conclusions: We think that the protocol used in the present study can be used for complete safety in the
treatment of this type of patients.
Keywords: Oral Anticoagulant Therapy (OAT), Tranexamic Acid, Oral Surger
Successful use of a topical mixture with ozolipoile in the treatment of actinic ulcers
No full textFrancesco Inchingolo,1 Angelo Tarullo,2 Raffaele Cagiano,2 Gianpiero Resta,3 Gianna Dipalma,3 Angelo Michele Inchingolo,3 Antonella Tarullo,3 Salvatore Scacco,4 Massimo Marrelli,5,6,* Luigi Corti,7,* Marco Tatullo8,* 1Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, 2Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”, Bari, 3Private Practice, Dental Clinic, Bari, 4Department of Basic Medical Sciences, Neurosciences and Sensorial Organs, University of Bari “Aldo Moro”, Bari, 5Maxillofacial Unit, Calabrodental Clinic, Crotone, 6Healthcare Center, Marrelli Hospital, Crotone, 7UOC of Radiotherapy and Nuclear Medicine IOV – IRCCS, University of Padova, Padova, 8Biomedical Section, Tecnologica Research Institute, Crotone, Italy *These authors equally contributed to this research paper Purpose: Post-radiation skin damage is the result of alterations produced in the irradiated zone. There are different studies aimed at verifying the effectiveness of several kinds of molecules in the treatment of radiation-induced skin damage. The purpose of this study is to test a mixture with a formulation containing several natural active ingredients on actinic ulcers in patients receiving radiation therapies. Patients and methods: The authors recruited 13 patients, and randomly divided them into a test group (T1) and a control group (T2). The patients in both groups were undergoing radiotherapy. The T1 group was treated with a mixture called ozolipoile, whereas the T2 group was administered hyaluronic acid gel followed by non-ablative laser therapy. We evaluated the obtained results, the time of clinical healing, the reduction of pain, and each side effect, comparing all data between the T1 and T2 groups. Results: The average Visual Analog Scale results showed decrease in pain in both groups; however, while the T1 group showed a significant decrease in the values, the T2 group reported a more gradual reduction in the values, without ever reaching the minimum values obtained with the treatment with ozolipoile. Conclusion: Treatment of actinic ulcers with ozolipoile mixture leads to faster control of pain and to better healing of small-size ulcers. Keywords: actinic ulcers, radiation-induced ulcers, skin wound, ozonide, wound healin
CHARGE syndrome: An overview on dental and maxillofacial features
No full textAbstract
OBJECTIVES:
CHARGE is an acronym referring to the aspects of this rare syndromic condition. Patients with CHARGE association are today considered as subjects lacking in pathognomonic dental alterations. The present study is aimed at adding to the body of evidence of the cases reported in literature and the continuous clinical research which show a clinical picture which is strongly associated with patients afflicted by this syndrome.
PATIENTS AND METHODS:
We report a case-series of 8 patients with CHARGE syndrome. The dental features associated with CHARGE syndrome are from case-reports, but without a congruity that can lead to a definition of the dental condition typical of the CHARGE phenotype.
CONCLUSIONS:
The systemic problems affecting these patients are predominant in compromising their quality of life: this is the reason for a frequent lack of a diagnostics and interceptive phase, relative to oral diseases. We report new oral pathological conditions affecting CHARGE patients. Knowledge of these pathological conditions may induce dentists to carry out specific diagnoses of these patients, thus, avoiding the deterioration of oral conditions
What Empathy Can(not) Do. An Inquiry into the Epistemic Possibilities and Limits of Empathic Imagination.
No full textIn my dissertation, I am going to argue that empathy is a cognitive process through which we imagine another’s first-person perspective in a given situation. Empathy aims at providing empathizers with an insight into “what it feels like” to be in somebody else’s shoes. I call this phenomenon phenomenal insight. In light of this account, I am going to show some of empathy’s major epistemic possibilities and limits. The dissertation is so structured. In Chapter I, I will engage with the literature devoted to the definition of empathy. From this debate, I extrapolate a pattern of basic features that are shared by most accounts. I then introduce the definition of empathy I will be dealing with throughout the present work. In Chapter II, I engage with the view that regards empathy as capable of providing us with an understanding of other people's reasons for action, where reasons are to be taken as constituted by a belief-desire couple. I criticize the belief-desire model and argue for the inclusion of emotions as full-right reason-giving states. I show how emotions' main source of motivation can be found in the way in which they are phenomenally experienced by subjects. I then argue for phenomenal insight as a way to grasp the reason-giving dimension of emotional states. Attached to this chapter I put an Appendix in which I explore more in detail how it is possible for us to first-personally imagine emotional states. In Chapter III, I argue that what can be empathically imagined is bound to the kind of individuals we are, i.e. to our preferences, values, dispositions, etc. When trying to imagine other people's perspectives, traces of our “selves” can be found in what and how we imagine. I use the case of “imaginative resistance” as a vivid example of this phenomenon. I further defend my claims by resorting to some relevant empirical work in social psychology and neuroscience. In Chapter IV, I engage with the debate on transformative experiences (TEs). TEs could, indeed, be interpreted as highlighting major limits of our imaginative capabilities due to the kind of selves we are. The stock of experiences we had constrains our capability to conjure up the relevant imaginings about experiences we did not personally undergo. At the same time, the kind of “self” we are impedes us to fully appreciate a different self’s perspective. In Chapter V, I show how the challenges to empathy explored in the previous chapter can be counterbalanced. This allows me to show some surprising features of empathy that are seldom discussed in contemporary literature, namely the possibility to learn via empathy and the possibility to change via empathy. On the one hand, I show how empathy, by stretching our imagination, can provide us with phenomenal insight into experiences we did not actually undergo. On the other hand, I show how empathy, by exposing ourselves to new perspectives, can change us as individuals
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