Posts Tagged ‘ kenosha ’

ORAL SURGERY PATIENTS TAKING ANTICOAGULANTS

Advances in medical and surgical care over the years have resulted in a continual increase in life expectancy and individuals surviving who have more significant healthcare concerns. It is very common to see patients with various disease states requiring blood thinners (anticoagulants). Many of these patients are significantly anticoagulated (INR > 2.5). As an oral […]

GRINDING AND CLENCHING AND THE EFFECTS ON JAW JOINTS

Grinding and clenching of teeth have been studied extensively and clearly have multiple causes. In most cases, there are multiple overlapping and layered causes. In some cases, it is a normal physiologic activity (such as a child naturally responding to a changing bite during development). In many cases, it is a natural response to a […]

FLUORIDE USE REDUCES DECAY

A big part of the dental surgery practice is removal of teeth that are decayed and broken down past the point where they can be saved. In many cases, this involves decay that has occurred underneath a filling or crown and in many cases could be avoidable.

INFORMED CONSENT

There is no question, that there can be anxiety when we go in to see a doctor and they have us sign a consent form prior to a procedure. The way this is presented can have a dramatic effect on how we perceive the process. I never want to “candy-coat” the fact that risks are […]

EPINEPHRINE SENSITIVITY

Epinephrine (or adrenaline) is used along with local anesthetics because it increases the duration of effectiveness, decreases blood loss, and reduces the systemic toxicity of anesthetic drugs by localizing them. Epinephrine can cause systemic problems for some individuals.

TERMS FOR DISCOMFORT

Pain control is a key part of the training of an oral and maxillofacial surgeon. The list below is medical terms we use to describe or qualify discomfort. I thought they might be interesting and give a couple of “words with friends” additions.

PEARLS OF WISDOM: TOPICAL FLUORIDE

Topical fluoride gel is available over-the-counter without a prescription at your pharmacy. We often use it with kids that are in orthodontic care to try to give some extra strengthening to the tooth structure and to rebuild tooth structure that might be adversely affected by debris on the teeth.

HAVING TECHNOLOGIES DOES NOT MAKE YOU AN EXPERT

Oral and maxillofacial surgeons have always been the experts in providing surgical care for the oral and facial region. New technologies, such as cone beam scanning, are instruments that help us all to provide better care. So many individuals use these technologies, such as advanced instruments, medications, materials such as bone graft, dental and facial […]

DIPHENHYDRAMINE – BENADRYL AS A LOCAL ANESTHETIC

I saw a recent article about the use of amitriptylene as a topical anesthetic for dentistry. (J Oral Maxillofac Surg 71:23-28, 2013). This is interesting. There are many medications which block nerve transmission orally.

CLOSTRIDIUM DIFFICILE COLITIS AND ANTIBIOTICS

Clostridium difficile is an uncommon disease that has been on the increase and is felt to be mainly a side effect of antibiotic use. Clindamycin is a commonly used and appropriate antibiotic for oral infections. It is, however, a second or third line drug for me as an oral surgeon because of the risk of […]