{"title":"The effect of an electronic analgesia device on dental pain thresholds.","authors":"W A Cameron, J S Pairman, R Orchardson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of UltraCalm, an electronic dental analgesia (EDA) device, on dental pain thresholds was studied in 32 volunteers. For each subject, two initial baseline measurements of dental pain thresholds were made using an electric pulp tester. Pain thresholds were then measured during EDA with either UltraCalm or an inactive (placebo) device. No significant differences were found between the first and second baseline threshold measurements nor between the pain thresholds measured during the application of the UltraCalm and placebo devices. The mean baseline pain threshold was significantly lower than the threshold measured during application of the placebo device, but was not significantly different from the threshold during application of UltraCalm. it is concluded that UltraCalm has no consistent effect in altering dental pain thresholds.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 3","pages":"171-5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19135696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The systemic management of cardiovascular risk patients in dentistry.","authors":"H Matsuura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recently, dental patients with cardiovascular diseases, especially hypertensive and ischemic heart disease, have been increasing. Performing dental procedures on these patients could bring about the acute exacerbations of preexisting cardiac diseases. Anxiety, tension, pain, and discomfort during dental treatment and the catecholamines contained in local anesthetic solutions are thought to be causative factors. Consequently, it is important to decide whether the procedure concerned could safely be performed by dental staffs in the dental clinic. Systemic management in dental treatment includes the application of psychosedation, proper selection of the vasoconstrictor in the anesthetic solution, and control of blood pressure by vasodilating agents under continuous careful monitoring. By these means, the magnitude of hemodynamic fluctuation should be kept minimal. Management of hypertension, ischemic heart disease, and cardiomyopathies will be explained.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 1","pages":"49-61"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19317465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anxiety measures during induced experimental pain.","authors":"P Coulthard, J P Rood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of analgesic studies obtained using experimental pain are often not comparable with those obtained from clinical studies. This may be because anxiety, which plays an important role in the pain experience, may not be evoked by experimentally induced pain. The aim of this study is to measure the level of anxiety induced by the submaximum effort tourniquet technique, which produces pain similar in quality to clinical pain. The mean time that subjects tolerated the pain from the tourniquet was 14.94 minutes. Systolic blood pressure and heart rate increased. Visual analogue scale measures of anxiety showed an overall increase during the experiment but were highly erratic individually. This study suggests that the submaximum effort tourniquet technique is incapable of inducing the same type of anxiety experienced with clinical pain.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 3","pages":"150-3"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19133941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Morphologic airway changes after mandibular setback osteotomy for prognathism with and without cleft palate.","authors":"N Katakura, M Umino, Y Kubota","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study illustrates morphologic changes of the pharyngeal airway after mandibular setback osteotomy. Twenty-six patients with prognathism were evaluated preoperatively and postoperatively with standard lateral cephalograms to assess craniofacial morphology--in particular, airway size. Subjects were classified into two groups: those with mandibular prognathism and those with mandibular prognathism accompanied by maxillary hypoplasia caused by cleft palate. In the postoperative period, the width of the pharyngeal airway significantly diminished in both groups; the airway widths of those with maxillary hypoplasia were narrower than those without maxillary hypoplasia. These results indicate that mandibular setback osteotomy induces the narrowing of the pharyngeal airway, and the narrowing effect of this surgery was more pronounced in prognathic patients accompanied by maxillary hypoplasia caused by cleft palate.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 1","pages":"22-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19317463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oxygen application: when and how?","authors":"G Meron, T F Berr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Airway management, including oxygen application, is of prime importance in any emergency. This article explains the causes of hypoxemia and the importance of, equipment for, and techniques of oxygen administration. To readily cope with emergencies in the dental office, proper equipment must be maintained and staff members must be fully trained in emergency response mechanisms.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 4","pages":"206-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19172943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Competence wanted!","authors":"M D Lipp","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19317466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stability of local anesthetics in the dental cartridge.","authors":"S O Hondrum, G F Seng, N W Rebert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent manufacturer recalls of local anesthetics have emphasized the problems with storage stability. This article reviews the principles of drug stability, mechanisms of degradation of commonly used vasoconstrictors, research on the stability of commercially produced local anesthetic preparations, and possible effects of the container-closure system. The review concludes with a list of practical and clinical suggestions on how to minimize storage stability problems with dental local anesthetics.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 4","pages":"198-202"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19172941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in guidelines for cardiopulmonary resuscitation and emergency cardiac care.","authors":"S F Melamed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At the Fifth National Conference on Cardiopulmonary Resuscitation and Emergency Cardiac Care held in Dallas in February 1992, changes in the guidelines for basic life support and advanced cardiac life support were recommended. These changes are defined and explained in this article.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 1","pages":"13-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19317461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An anaphylactoid reaction following local anesthesia: a case report.","authors":"D A Bosco, D A Haas, E R Young, K L Harrop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case report of an adverse reaction to a preparation of an amide local anesthetic, prilocaine with epinephrine, is presented. Signs and symptoms were consistent with an anaphylactic reaction and the patient responded positively to treatment based on this assumption. Treatment included administration of epinephrine injected sublingually and oxygen by inhalation. However, subsequent skin testing failed to confirm this diagnosis. A number of explanations are possible and a final diagnosis of an anaphylactoid reaction was made. Local anesthetic allergies and their management are reviewed. The literature demonstrates that an allergic reaction to amide local anesthetics can occur and a thorough history, intradermal testing, and subcutaneous challenge are reasonable approaches to determine a safe agent for subsequent use.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 2","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19209211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute bronchospasm following administration of lidocaine.","authors":"P van der Bijl, J Broeksma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 27-year-old woman with a history of Crohn's disease and an allergy to penicillin presented for routine restorative dental work. Xylotox E80A (3.6 mL of 2% lidocaine with 1:80,000 epinephrine) was given, and the dental work was completed uneventfully. Three months later she presented with acute pulpitis of a mandibular molar for which root canal therapy was indicated. At this time, 1.8 mL Xylotox E80A was given. Within 2 minutes, the patient experienced severe respiratory distress and the procedure was delayed for 5 days. In a fully equipped operating room, a subcutaneous test with Xylotox E80A was performed and acute bronchospasm resulted. This case report describes severe bronchospasm following the administration of lidocaine on two occasions.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 4","pages":"203-5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19172942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}