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Journal of Dental Anesthesia and Pain Medicine

Bhavna Sriramka, Diptimayee Mallik, Megha Khetan, Nupur Moda
No abstract text is available yet for this article.
October 2018: Journal of Dental Anesthesia and Pain Medicine
Eunsun So, Hye Joo Yun, Myong-Hwan Karm, Hyun Jeong Kim, Kwang-Suk Seo, Hyunbin Ha
Oronasal fistulae (ONF) could remain after surgery in some patients with cleft palate. ONF ultimately requires intraoral surgery, which may lead to perioperative airway obstruction. Tongue flap surgery is a technique used to repair ONF. During the second surgery for performing tongue flap division, the flap transplanted from the tongue dorsum to the palate of the patient acts as an obstacle to airway management, which poses a great challenge for anesthesiologists. In particular, anesthesiologists may face difficulty in airway evaluation and patient cooperation during general anesthesia for tongue flap division surgery in pediatric patients...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Tae-Heung Kim, Jun-Sang Lee, Ji-Hye Ahn, Cheul-Hong Kim, Ji-Uk Yoon, Eun-Jung Kim
An 87-year-old woman was referred for the extraction of residual teeth and removal of tori prior to prosthetic treatment. After surgery under general anesthesia, the surgical tape was removed to detach the bispectral index sensor and the hair cover. After the surgical tape was removed, skin injury occurred on the left side of her face. After epidermis repositioning and ointment application, a dressing was placed over the injury. Her wound was found to have healed completely on follow-up examination. Medical adhesive related skin injury (MARSI) is a complication that can occur after surgery and subjects at the extremes of age with fragile skin are at a higher risk for such injuries...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Masanori Tsukamoto, Takashi Hitosugi, Takeshi Yokoyama
Awake fiberoptic nasotracheal intubation is a useful technique, especially in patients with airway obstruction. It must not only provide sufficient anesthesia, but also maintain spontaneous breathing. We introduce a method to achieve this using a small dose of fentanyl and midazolam in combination with topical anesthesia. The cases of 2 patients (1 male, 1 female) who underwent oral maxillofacial surgery are reported. They received 50 µg of fentanyl 2-3 times (total 2.2-2.3 µg/kg) at intervals of approximately 2 min...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Jeong-Hoon Park, Ji-Young Yoon, Eun-Jung Kim, Ji-Uk Yoon, Byung-Moon Choi, Ji-Hye Ahn
Background: Removal of the plate following Le Fort I osteotomy and BSSO (bilateral sagittal split osteotomy) is a common procedure. However, patients who undergo plate removal experience intense pain and discomfort. This study investigated the half-maximal effective concentration ( Ce50 ) of remifentanil in the prevention of plate removal pain under sedation using dexmedetomidine. Methods: The study evaluated 18 patients, between 18 and 35 years of age, scheduled for elective surgery...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Chang Kim, Kyung-Gyun Hwang, Chang-Joo Park
Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. However, its success rate is not high and it may lead to complications, such as aspiration and nerve injury. Therefore, various anesthesia methods are being investigated. Articaine has been proven to be efficacious in a number of studies and is being used with increasing frequency in clinical practice...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Jihye Yun, Youn-Soo Shim, So-Young Park, So-Youn An
Chemo-mechanical caries removal methods are known to be more effective compared with conventional methods in pain reduction. Carie-care™, a chemo-mechanical caries removal agent, was introduced in 2010 but a systematic review of its efficacy has not yet been performed. The purpose of this study was to investigate the effectiveness of Carie-care™ on the outcomes of treatment of caries in children and adolescents. The primary outcome was pain while the secondary outcomes included complete caries removal (CCR), time, need for local anesthesia and behavioral response changes...
October 2018: Journal of Dental Anesthesia and Pain Medicine
Byung-Koo Um, Jeong-Kui Ku, Yong-Soo Kim
The purpose of this study was to report and discuss the diagnosis and treatment of obstructive atelectasis secondary to pus obstruction in a patient who had developed a maxillofacial abscess, and to review the literature on similar cases. Persistently discharging pus within the oral cavity can act as an aspirate, and may lead to obstructive atelectasis. Additionally, maxillofacial surgery patients should be carefully assessed for the presence of risk factors of obstructive atelectasis, such as, epistaxis after nasotracheal intubation, oral bleeding, and mucus secretion...
August 2018: Journal of dental anesthesia and pain medicine
Binita Panigrahi, Nishant Sahay, Devi P Samaddar, Abhishek Chatterjee
As a safety measure, dentures are routinely removed before surgery. Aspiration of a denture could be catastrophic, with medicolegal implications. Foreign body aspiration is uncommon in adults; however, aspirations may remain asymptomatic and undiagnosed for long periods of time. We report an adult male who presented with a cough for more than 6 months. On radiography, a foreign body was found migrating within the tracheobronchial tree from one mainstem bronchus to the other, at different time points. The foreign body was later found to be a portion of his denture...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Ilke Kupeli, Emine Tepe, Ufuk Kuyrukluyıldız
Rett syndrome (RS) is a neurodevelopmental disorder characterized by loss of cognitive, motor, and social skills, epilepsy, autistic behavior, abnormal airway patterns, gastroesophageal reflux, nutritional problems, and severe scoliosis. Although girls with RS show normal or near-normal growth until 6-8 months, they lose their skills after that. The anesthetic management of these patients requires care because of all these clinical features. Especially in the postoperative period, prolonged apnea is common and extubation is delayed...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Myung-Su Lee, Sookyung Lee, Dong-Kyun Seo, Syn-Hae Yoon, Seong-Soo Choi
Sudden headache onset may rarely be caused by spontaneous intracranial hypotension (SIH). Other associated symptoms in patients with SIH are nausea, vomiting, vertigo, hearing alteration, and visual disturbance. This case report describes a 43-year-old female diagnosed with SIH who developed diplopia after resolution of an abrupt-onset headache, which was managed with conservative treatments, including bed rest and hydration. She was also diagnosed with secondary right sixth cranial nerve palsy. Although conservative management relieved her headache, the diplopia was not fully relieved...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Seon Woo Lim, Eunsun So, Hye Joo Yun, Myong-Hwan Karm, Juhea Chang, Hanbin Lee, Hyun Jeong Kim, Kwang-Suk Seo
Background: When performing dental treatment under general anesthesia in adult patients who have difficulty cooperating due to intellectual disabilities, anesthesia induction may be difficult as well. In particular, patients who refuse to come into the dental office or sit in the dental chair may have to be forced to do so. However, for adult patients with a large physique, physical restraint may be difficult, while oral sedatives as premedication may be helpful. Here, a retrospective analysis was performed to investigate the effect of oral sedatives...
August 2018: Journal of dental anesthesia and pain medicine
Aura Silva, Pedro Amorim, Luiza Felix, Fernando Abelha, Joana Mourão
Background: Patients with intellectual disability (ID) often require general anesthesia during oral procedures. Anesthetic depth monitoring in these patients can be difficult due to their already altered mental state prior to anesthesia. In this study, the utility of electroencephalographic indexes to reflect anesthetic depth was evaluated in pediatric patients with ID. Methods: Seventeen patients (mean age, 9.6 ± 2.9 years) scheduled for dental procedures were enrolled in this study...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Thanawat Kaewjiaranai, Ratchapin Laovanitch Srisatjaluk, Watus Sakdajeyont, Verasak Pairuchvej, Natthamet Wongsirichat
Topical anesthetics are commonly used in oral & maxillofacial surgery to control pain in the oral cavity mucosa before local anesthetic injection. These anesthetic agents come in many forms, developed for different usages, to minimize adverse reactions, and for optimal anesthetic efficiency. Earlier studies have revealed that these agents may also limit the growth of microorganisms in the area of anesthetic application. Many topical anesthetic agents show different levels of antimicrobial activity against various bacterial strains and Candida...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Ranjivendra Nath, Ali Daneshmand, Dan Sizemore, Jing Guo, Reyes Enciso
This systematic review aimed to analyze the efficacy of corticosteroid premedication compared to placebo or no treatment to reduce postoperative pain in endodontic patients. Randomized controlled trials (RCTs) assessing corticosteroids via oral, intramuscular, subperiosteal, intraligamentary or intracanal route compared to passive or active placebo, or no treatment were included. Four databases were searched: PubMed, Web of Science, Cochrane Library and Embase up to 2/21/2018. Risk of bias was assessed with Cochrane Risk of bias tool...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Khlood Baghlaf, Eman Elashiry, Najlaa Alamoudi
Pain control by means of local anesthesia is an intrinsic part of clinical practice in dentistry. Several studies evaluated intraligamental anesthesia using a computer-controlled anesthetic device in children. There is a need to provide a clinical guide for the use of computerized intraligamental anesthesia in children. Intraligamental anesthesia using a computer-controlled anesthetic device was found to cause significantly lower pain perception scores and lower pain-related behavior than traditional techniques...
August 2018: Journal of Dental Anesthesia and Pain Medicine
Steven J Barker
No abstract text is available yet for this article.
June 2018: Journal of Dental Anesthesia and Pain Medicine
Se-Ung Park, Sung-Hoon Kim, Hye-Mee Kwon, Gi-Ho Koh, Gi-Byoung Nam, Myong-Hwan Karm, Wook-Jong Kim, Seung-Woo Ku
A 57-year-old woman scheduled for cochlear implant removal exhibited preoperative electrocardiographic findings of early repolarization (ER). Four episodes of transient ST segment elevations during surgery raised suspicion for vasospastic angina (VA). In the post-anesthetic care unit, the patient complained of chest discomfort and received sublingual nitroglycerin with uncertain effect. The patient refused to proceed with postoperative invasive coronary angiography, resulting in inconclusive diagnosis. Intraoperative circumstances limit the diagnosis of VA, which emphasizes the need for further testing to confirm the diagnosis...
June 2018: Journal of Dental Anesthesia and Pain Medicine
Rathna Paramaswamy
Complex cervical spine fractures are a serious complications of maxillofacial trauma and associated with high mortality and neurological morbidity. Strict vigilance in preventing further insult to the cervical spine is a crucial step in managing patients who are at risk for neurologic compromise. We report a rare case of a right transverse process of atlas fracture with right-sided vertebral artery injury that was associated with a comminuted fracture of the body and angle of the mandible, which restricted mouth opening...
June 2018: Journal of Dental Anesthesia and Pain Medicine
Re-Mee Doh, Sooil Shin, Tae Min You
Paresthesia is an altered sensation of the skin, manifesting as numbness, partial loss of local sensitivity, burning, or tingling. The inferior alveolar nerve (IAN) is the third branch of the trigeminal nerve and is very important in dental treatment. IAN paresthesia may occur after various dental procedures such as simple anesthetic injections, surgical procedures, and endodontic treatment, and is reported to range from 0.35% to 8.4%. The altered sensation usually follows immediately after the procedure, and reports of late onset of nerve involvement are rare...
June 2018: Journal of Dental Anesthesia and Pain Medicine
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