In: Main
14 Dec 2009Case 1
A 65-kg, 19-year-old African-American female presented in 1999. The patient had no significant medical or surgical history. Removal of symptomatic mandibular third molars was recommended. The patient was apprehensive regarding the extractions and requested sedation for the extraction of teeth nos. 1, 16, 17, and 32. The following week, the patient presented with her [...]
In: Main
13 Dec 2009Since the discovery of the anesthetic properties of nitrous oxide by Horace Wells in 1844, the availability of anesthetic agents has considerably increased. The newer synthesized drugs have proved advantageous over the older agents. Benzodiazepines are used for their sedative, anxiolytic, amnesic, anticonvulsant drug, and muscle relaxant properties; however, they are associated with rare adverse [...]
In: Main
10 Dec 2009DISCUSSION
This case indicates that SGB may relieve pain in some patients who are suspected to have symptomatic trigeminal neuralgia. SGB blocks sympathetic nervous activity to the head, neck, and upper extremity on the treated side. It is applied to reduce pain in patients with disor ders such as causalgia, reflex sympathetic dystrophies, peripheral vascular disease, [...]
In: Main
9 Dec 2009INTRODUCTION
About 5 to 10% of trigeminal neuralgia has been considered to be symptomatic trigeminal neuralgias caused by brain tumors. Some of these patients complain of severe pain, which needs to be managed before surgical treatment. We present a case of symptomatic trigeminal neuralgia in which pain was relieved by trial stellate ganglion block (SGB).
DISCUSSION
This study confirms the sensitivity of BIS monitoring for sevoflurane at the highest concentration studied, 0.8% inspired sevoflurane with average BIS depression from the 90s into the 80s. Overall, BIS functioned without any noticeable problems in a dental setting without a procedure being performed. At light levels of sedation, EMG activity, including eye motion, did [...]
Demographic characteristics of the 22 subjects appear in Table 2. The ratio of males to females was 12 to 10, with a mean age of 29 ± 7 years and average weight of 159 ± 36 lb. Data for vital signs appear in Table 3, expressed as means ± standard errors for the combined control [...]
With the approval of The Ohio State University IRB Human Subjects Committee, 22 healthy volunteer dental students, both male and female, were recruited in pairs to participate in a single-blinded clinical protocol. A power analysis was performed on data from previous similar studies and indicated that an N (least significantnumber) greater than 15 should provide [...]
Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.