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Journal of Dental Anesthesia and Pain Medicine

Si-Yeon Park, Hong Seok Choi, Ji-Young Yoon, Eun-Jung Kim, Ji-Uk Yoon, Hee Young Kim, Ji-Hye Ahn
Endotracheal intubation is commonly associated with laryngeal injury that often resolves spontaneously without any complication. However, stenosis or granulomatous lesions are generally found on the tracheal wall or vocal process at the tube cuff level, caused by excessive cuff pressure. We present a case of fatal vocal cord granuloma leading to dyspnea following orthognathic surgery and sustained intubation for 14 hours.
December 2018: Journal of Dental Anesthesia and Pain Medicine
Kamal Aggarwal, Arundeep Kaur Lamba, Farrukh Faraz, Shruti Tandon, Kanika Makker
Background: Fear of local anesthesia (LA) is a significant impediment to dental care as many patients delay or avoid treatment to avert pain. Computer-controlled local anesthetic delivery system (CCLAD), with constant and controlled rate of flow, present a painless alternative. The present study aimed to compare anxiety and pain perceived with conventional and computerized systems, for different stages of anesthesia delivery when administering various nerve blocks. Methods: One hundred patients requiring bilateral LA participated in the study...
December 2018: Journal of Dental Anesthesia and Pain Medicine
Ichiro Okayasu, Osamu Komiyama, Takao Ayuse, Antoon De Laat
Background: Recently, we examined the effects of 2% lidocaine gel on the tactile sensory and pain thresholds of the face, tongue and hands of symptom-free individuals using quantitative sensory testing (QST); its effect was less on the skin of the face and hands than on the tongue. Consequently, instead of 2% lidocaine gel, we examined the effect of 8% lidocaine spray on the tactile sensory and pain thresholds of the skin of the face and hands of healthy volunteers. Methods: Using Semmes-Weinstein monofilaments, QST of the skin of the cheek and palm (thenar skin) was performed in 20 healthy volunteers...
December 2018: Journal of Dental Anesthesia and Pain Medicine
Eun-Jung Kim, Hyung Joon Kim, Seong Wan Baik, Kyung-Hoon Kim, Sie Jeong Ryu, Cheul-Hong Kim, Sang-Wook Shin
Background: Propofol is an intravenous anesthetic which has antioxidant effects due to its similarity in molecular structure to α-tocopherol. It has been reported that α-tocopherol increases osteoclast fusion and bone resorption. Here, we investigated the effects of propofol on signaling pathways of osteoclastogenic gene expression, as well as osteoclastogenesis and bone resorption using bone marrow-derived macrophages (BMMs). Methods: BMMs were cultured with macrophage colony-stimulating factor (M-CSF) alone or M-CSF plus receptor activator of nuclear factor kappa B ligand (RANKL) in the presence of propofol (0-50 µM) for 4 days...
December 2018: Journal of Dental Anesthesia and Pain Medicine
Sam Sovatdy, Chakorn Vorakulpipat, Sirichai Kiattavorncharoen, Chavengkiat Saengsirinavin, Natthamet Wongsirichat
Background: There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery. Methods: This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). The patients underwent surgical removal of bilateral mandibular third molars with two different IANBI techniques...
December 2018: Journal of Dental Anesthesia and Pain Medicine
Younghoon Jeon, Heryim Lee
Ramsay Hunt syndrome is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. Clinical presentation of Ramsay Hunt syndrome includes a vesicular rash on the ear (herpes zoster oticus) or in the oral mucosa accompanied by acute peripheral facial nerve paralysis. Other cranial nerves such as V, IX, XI, and XII are often involved. Additional variability of the clinical picture of Ramsay Hunt syndrome is produced by varying patterns of skin involvement explained by individual anastomoses between cranial and cervical nerves...
December 2018: Journal of Dental Anesthesia and Pain Medicine
Nelly Badr, Johan Aps
The objective of this review was to investigate the efficacy of dental local anesthetics, as it is well known among clinicians that local anesthesia may be challenging in some circumstances. Therefore, the focus of this review was on the efficacy of the products used in dental local anesthesia. In a Pubmed database literature search conducted, a total of 8646 articles were found to be related to dental local anesthetics. After having applied the inclusion criteria (human research, performed in the last 10 years, written in English language, and focus on dental local anesthetics) and having assessed the quality of the papers, 30 were deemed eligible for inclusion in this review...
December 2018: 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
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