Oral and Maxillofacial Surgery

Total Page:16

File Type:pdf, Size:1020Kb

Oral and Maxillofacial Surgery ORAL AND MAXILLOFACIAL SURGERY 3rd EDITION 2/2012 Chapter Pages 1 BASIC SETS OMFS-SET 1-36 TELESCOPES AND INSTRUMENTS FOR FRAKT 37-54 2 ENDOSCOPIC FRACTURE TREATMENT TELESCOPES AND INSTRUMENTS FOR TMJ 55-60 3 ARTHROSCOPY OF TEMPOROMANDIBULAR JOINT TELESCOPES AND INSTRUMENTS FOR DENT 61-80 4 MAXILLARY ENDOSCOPY TELESCOPES AND INSTRUMENTS DENT-K 81-120 5 FOR DENTAL SURGERY TELESCOPES AND INSTRUMENTS SIAL 121-134 6 FOR SIALENDOSCOPY 7 FLEXIBLE ENDOSCOPES FL-E 135-142 8 HOSPITAL SUPPLIES HS 143-240 9 INSTRUMENTS FOR RHINOLOGY AND RHINOPLASTY N 241-298 10 BIPOLAR AND UNIPOLAR COAGULATION COA 299-312 11 HEADMIRRORS – HEADLIGHTS OMFS-J 313-324 12 AUTOFLUORESCENCE AF-INTRO, AF 325-342 13 HOLDING SYSTEMS HT 343-356 VISUALIZATION SYSTEMS OMFS-MICRO, OMFS-VITOM 357-378 14 FOR MICROSURGERY OMFS-UNITS-INTRO, UNITS AND ACCESSORIES U 1-54 15 OMFS-UNITS COMPONENTS OMFS-SP SP 1-58 16 SPARE PARTS KARL STORZ OR1 NEO™, TELEPRESENCE 17 HYGIENE, ENDOPROTECT1 Not all the products listed in this document are certified according to Regulation 2017/745/EU. For this reason, some products requiring certification under this regulation may not be available in these countries. ORAL AND MAXILLOFACIAL SURGERY 3rd EDITION 2/2012 Important Notes: It is recommended to check the suitability of the product for the intended procedure prior to use. Endoscopes and accessories contained in this catalog have been designed in part with the cooperation of phy- sicians and are manufactured by the KARL STORZ group. If subcontractors are hired to manufacture individual components, these are made according to proprietary KARL STORZ plans or drawings. Furthermore, these pro- ducts are subject to strict quality and control guidelines of the KARL STORZ group. Both contractual and gene- ral legal provisions prohibit subcontractors from supplying components manufactured by order of KARL STORZ to competitors. Any assumptions that competitors’ endoscopes and accessories are acquired from the same suppliers as the KARL STORZ products are not correct. Moreover, endoscopes and instruments provided by competitors are not manufactured according to the design specifications of KARL STORZ. This means it cannot be assumed that these endoscopes and accessories – even if they look identical on the outside – are constructed in the sa- me manner and have been tested according to the same criteria. Standardized Design and Labeling KARL STORZ participates both in national and international bodies involved in the development of standards for endoscopes and endoscopic accessories. Standardized design and development therefore have long been implemented consistently by KARL STORZ. The user can rest assured that all products by the KARL STORZ group have been designed and constructed not only in compliance with strict internal quality guidelines, but al- so with international standards. All data relevant for safe use, such as viewing direction, sizes and diameters, or notes regarding sterilization of telescopes, are applied to the instruments, have been formulated according to international standards, and therefore provide reliable information. As we constantly seek to improve and modify our products, we reserve the right to make changes in design that vary from catalog descriptions. Original or Counterfeit KARL STORZ products are name brand articles renowned around the world and represent the state of the art in important areas of healthcare. A large number of “copy cat” products are currently being offered in many markets. These products are designed intentionally to resemble KARL STORZ products and use marketing stra- tegies that at least point out their compatibility with KARL STORZ products. These products are by no means genuine products, since genuine KARL STORZ products are sold worldwide exclusively under the name of KARL STORZ, which appears on the packaging and the product. In the absence of such labeling, the product is not from KARL STORZ. KARL STORZ, therefore, is unable to ensure that such products are actually compatible with genuine KARL STORZ products or can be used with them without injury to the patient. © All pictures, photos and product descriptions are the intellectual property of KARL STORZ SE & Co. KG. 7-14 Utilisation and copies by third parties have to be authorized by KARL STORZ SE & Co. KG.. All rights reserved. BASIC SETS Basic Set for Endoscopically Assisted Treatment of Collum Fractures CHAPTER 2 2 3 4 5 7 6 9 8 1 q 0 e w t r 1 7-07 2 OMFS-SET 2 Basic Set for Endoscopically Assisted Treatment of Collum Fractures SCHÖN/SCHMELZEISEN Recommended Set 1 7230 BWA HOPKINS® II Wide Angle Forward-Oblique Telescope 30°, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, color code: red 2 58200 ES Optical Dissector, with distal spatula, fenestrated, large, sharp, for use with HOPKINS® II Telescopes 7230 BA/BWA CHAPTER 2 3 58210 AGA Raspatory, curved, width 9 mm, working length 15 cm 4 58210 CA Raspatory, straight, spatula 12 x 12 mm, working length 15 cm 5 58210 CGA Raspatory, curved, spatula 12 x 12 mm, working length 15 cm 6 58210 EGA Raspatory, curved, spatula slightly curved, width 8 mm, working length 15 cm 7 58210 GGA Raspatory, curved, arc-shaped spatula, width 9 mm, working length 15 cm 8 58212 AA Nerve Hook, straight, working length 15 cm 9 58210 BA Raspatory, straight, width 6 mm, working length 15 cm 0 58210 ZA Raspatory, straight, distal end strongly curved, pointed, width 3 mm, working length 15 cm q 801708 KOCHER-LANGENBECK Retractor, size 65 x 14 mm, length 21.5 cm w 801707 KOCHER Retractor, size 40 x 18 mm, length 23 cm e 750001 Forceps, serrated, width 1.8 mm, length 20 cm r 754718 “Mosquito” Forceps, extra slender, serrated, curved, length 18 cm t 58122 OD Raspatory, for the mobilization of mucosa during the repair of palate defects and cleft palate surgery, double-ended, strongly curved, sharp and blunt, length 20.5 cm 1 7-07 OMFS-SET 3 3 Basic Set for Endoscopically Assisted Surgery of the Ramus Condylar Region CHAPTER 2 4 3 12 56 q r 78 90w e f o d a i tzu g 1 7-07 ps 4 OMFS-SET 4 Basic Set for Endoscopically Assisted Surgery of the Ramus Condylar Region TROULIS Recommended Set 1 7219 BA HOPKINS® II Forward-Oblique Telescope 30°, diameter 2.7 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, color code: red 2 7230 BA HOPKINS® II Forward-Oblique Telescope 30°, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, CHAPTER 2 color code: red 3 58501 RB NAHLIELI Mandibula Retractor, with handle, with distal hook, 2 teeth, for use with Irrigation Sheath 58501 SA/SB/SC/SD and HOPKINS® II Telescope 7230 AA/BA and 7219 AA/BA 4 58501 RC TROULIS Mandibula Retractor, with handle, with distal hook, curved upwards, for use with Irrigation Sheath 58501 SA/SB/SC/SD and HOPKINS® II Telescope 7230 AA/BA and 7219 AA/BA 5 58501 SB Irrigation Sheath, for use with Mandibula Retractor 58501 RA/RB/RC and HOPKINS® II Telescope 7230 BA 6 58501 SD Irrigation Sheath, for use with Mandibula Retractor 58501 RA/RB/RC and HOPKINS® II Telescope 7219 BA 7 58501 SR Suction Elevator, large, working length 13 cm 8 58210 BA Raspatory, straight, width 6 mm, working length 15 cm 9 58210 CA Raspatory, straight, spatula 12 x 12 mm, working length 15 cm 0 58210 ZA Raspatory, straight, distal end strongly curved, pointed, width 3 mm, working length 15 cm q 58122 OD Raspatory, for the mobilization of mucosa during the repair of palate defects and cleft palate surgery, double-ended, strongly curved, sharp and blunt, length 20.5 cm w 649183 FERGUSON Suction Tube, with cut-off hole and stylet, LUER, 10 Fr., working length 15 cm e 449201 RHINOFORCE® II Nasal Scissors, straight, with cleaning connector, working length 13 cm r 58160 KD DINGMANN Bone Holding Forceps, length 19 cm t 535212 HALSTEAD “Mosquito” Artery Forceps, curved, length 12.5 cm z 794518 OCHSNER-KOCHER Artery Forceps, straight, 1 x 2 teeth, length 18 cm u 505610 SENN-MÜLLER Retractor, double-ended, one side with 3 sharp prongs, other side with blunt blade, length 16 cm i 208000 Surgical Handle, Fig. 3, length 12.5 cm, for Blades 208010 – 15, 208210 – 15 o 208015 Blade, Fig. 15, non-sterile, package of 100 p 506401 AUFRICHT Nasal Retractor, working length 6 cm a 840021 B Bipolar Coagulating Electrode, with suction channel, for nose and epistaxis, tip angled 30°, working length 11 cm, for use with Bipolar High Frequency Cords 26176 LE or 26176 L – 27176 LV s 26 5200 43 Electrode Handle, with 2 buttons for activating the unipolar generator, yellow button: unipolar cutting, blue button: unipolar coagulation (Connecting Cable 26 5200 45 required) d 26 5200 40 Needle Electrode f 26 5200 38 Ball Electrode, 4 mm g 26 5200 45 High Frequency Cord, for Electrode Handle 26 5200 43, length 400 cm 1 7-07 OMFS-SET 5 5 Set for Temporomandibular Arthroscopy Basic Set CHAPTER 3 24 13 8 7 56 90 q w e uiop rtz 1 7-07 6 OMFS-SET 6 A Set for Temporomandibular Arthroscopy Basic Set 1 58705 AA HOPKINS® Straight Forward Telescope 0°, diameter 1.9 mm, length 6.5 cm, autoclavable, fiber optic light transmission incorporated, color code: green 2 58706 AN High-Flow Arthroscope Sheath, outer diameter 2.5 mm, working length 4 cm, for use with HOPKINS® Telescope 58705 AA, color code: green CHAPTER 3 3 58705 BA HOPKINS® Forward-Oblique Telescope 30°, diameter 1.9 mm, length 6.5 cm, autoclavable, fiber optic light transmission incorporated, color code: red 4 58706 BN High Flow Arthroscope Sheath, outer diameter 2.5 mm, working length 4 cm,
Recommended publications
  • Comparison of a Tridimensional Cephalometric Analysis Performed
    Maspero et al. Progress in Orthodontics (2019) 20:40 https://doi.org/10.1186/s40510-019-0293-x RESEARCH Open Access Comparison of a tridimensional cephalometric analysis performed on 3T- MRI compared with CBCT: a pilot study in adults Cinzia Maspero1,2*† , Andrea Abate1,2†, Francesca Bellincioni1,2†, Davide Cavagnetto1,2†, Valentina Lanteri1,2, Antonella Costa1 and Marco Farronato1,2 Abstract Objective: Since the introduction of cone-beam computed tomography (CBCT) in dentistry, this technology has enabled distortion-free three-dimensional cephalometric analysis for orthodontic and orthognathic surgery diagnosis. However, CBCT is associated with significantly higher radiation exposure than traditional routine bidimensional examinations for orthodontic diagnosis, although low-dose protocols have markedly reduced radiation exposure over time. The objective of this preliminary feasibility study is to compare the accuracy and diagnostic capabilities of an already-validated three-dimensional cephalometric analysis on CBCT to those of an analysis on 3-T magnetic resonance imaging (3T-MRI) to assess whether the latter can deliver a comparable quality of information while avoiding radiation exposure. Materials and methods: In order to test the feasibility of three-dimensional cephalometry on 3T-MRI, 18 subjects (4 male; 14 female) with mean age 37.8 ± SD 10.2, who had undergone both maxillofacial CBCT and maxillofacial 3T-MRI for various purposes within 1 month, were selected from the archive of the Department of Dentistry and Maxillofacial Surgery of Fondazione Ospedale Policlinico Maggiore, IRCCS, Milano, Italy. A three-dimensional cephalometric analysis composed of ten midsagittal and four bilateral landmarks and 24 measurements (11 angular, 13 linear) was performed on both scans using Mimics Research® v.
    [Show full text]
  • TITLE: Photo-Activated Disinfection Therapy for Dental Surgery: Review of the Clinical Effectiveness
    TITLE: Photo-Activated Disinfection Therapy for Dental Surgery: Review of the Clinical Effectiveness DATE: 11 September 2013 CONTEXT AND POLICY ISSUES The oral cavity harbors more than 700 prokaryote species;1 most of these species are normal flora of the healthy oral cavity.2 Some of these microorganisms are responsible for oral pathologies. Bacteria such as Actinobacillus actinomycetemcomitans, Prevotella intermedia, Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia are responsible for common forms of periodontal diseases,3 and Bacteroides, Peptostreptococcus, and microaerophilic Streptococcus species may cause osteomyelitis of the jaw.4 During a surgical intervention, disinfection of the oral cavity is attempted by using different chemical solutions such as chlorhexidine and iodine. This is done to prevent, or at least reduce the risk of wound infections or bacteremia following the surgical intervention.5 In the case of periodontal and endodontic treatments, mechanical cleaning of the affected surfaces are believed to be the gold standard.6 Photodynamic antimicrobial chemotherapy or light-activated disinfection is a technology based on the production of free oxygen radicals capable of affecting the membranes of microorganisms.7 The technique is composed of a photosensitizer substance that can be activated with a suitable wave length and light source. The photosensitizer, usually toluidine blue, is activated with a light source. After its activation, it produces energy capable of transforming the surrounding oxygen into free radicals. The free radical then attacks the exposed microorganisms.7 Photodynamic chemotherapy may be used in dentistry to reduce the bacterial load in cases of periodontal lesions and during root canals. Another potential use of this technique is as a pre- surgical disinfection method for the oral cavity to prevent oral flora from penetrating the bone and submucosal tissues during surgery.
    [Show full text]
  • Bleeding Disorders of Importance in Dental Care and Related Patient Management
    Clinical P RACTIC E Bleeding Disorders of Importance in Dental Care and Related Patient Management Contact Author Anurag Gupta, BDS; Joel B. Epstein, DMD, MSD, FRCD(C); Robert J. Cabay, MD, DDS Dr. Epstein Email: [email protected] ABSTRACT Oral care providers must be aware of the impact of bleeding disorders on the manage- ment of dental patients. Initial recognition of a bleeding disorder, which may indicate the presence of a systemic pathologic process, may occur in dental practice. Furthermore, prophylactic, restorative and surgical dental care of patients with bleeding disorders is best accomplished by practitioners who are knowledgeable about the pathology, com- plications and treatment options associated with these conditions. The purpose of this paper is to review common bleeding disorders and their effects on the delivery of oral health care. For citation purposes, the electronic version MeSH Key Words: blood coagulation/physiology blood coagulation disorders/complications dental care is the definitive version of this article: www.cda-adc.ca/jcda/vol-73/issue-1/77.html entists must be aware of the impact of The patient should be asked for any history bleeding disorders on the management of significant and prolonged bleeding after Dof their patients. Proper dental and med- dental extraction or bleeding from gingivae. ical evaluation of patients is therefore neces- A history of nasal or oral bleeding should sary before treatment, especially if an invasive be noted. Many bleeding disorders, such as dental procedure is planned. Patient evalua- hemophilia and von Willebrand’s disease, tion and history should begin with standard run in families; therefore, a family history medical questionnaires.
    [Show full text]
  • The Consumer's Guide to Safe, Anxiety-Free Dental Surgery
    The Consumer’s Guide to Safe, Anxiety-Free Dental Surgery Jeffrey V. Anzalone, DDS 1 2 About The Author 7 Meet The Anzalones 9 Acknowledgments 11 Overview of the BIG PICTURE 13 The 9 Most Important Dental Surgery Secrets 13 Chapter 2 Selecting the Right Dental Surgeon 17 What Are the Dental Specialties That Perform Surgery? 19 What Is a Periodontist? 20 Chapter 3 The Consultation 23 The Initial Consultation: Examining the Doctor 25 Am I a candidate for surgery? 26 14 Questions to Ask Your Prospective Periodontist 27 Chapter 4 Gum Disease (Periodontitis) 29 Gum Disease Symptoms 30 Pocket Recording 32 Is gum disease contagious? 32 Gum Disease and the Human Body 33 Gum Disease and Cardiovascular Disease 33 Gum Disease and Other Systemic Diseases 34 Gum Disease and Women 35 Gum Disease and Children 37 Signs of Periodontal Disease 38 Advice for Parents 39 Gum Disease Risk Factors 41 Non-Surgical Periodontal Treatment 42 Regenerative Procedures 43 Pocket Reduction Procedures 44 Follow-Up Care 45 Chapter 5 The Photo Gallery 47 Free Gingival Graft 47 Connective Tissue Graft 49 Dental Implants 51 Sinus Lift With Dental Implant Placement 53 Classification of Implant Sites 53 Implants placed after sinus has been elevated 54 3 4 Sinus Lift as a Separate Procedure 55 Sinus Perforation 55 Bone Grafting 57 Esthetic Crown Lengthening 59 Crown Lengthening for a Restoration 60 Tooth Extraction and Socket Grafting 61 More Photos of Procedures 62 Connective Tissue Graft 62 Connective Tissue Graft + Crowns 64 Free Gingival Graft 64 Esthetic Crown Lengthening
    [Show full text]
  • Does Your Plan Cover Orthodontics in Progress?
    ® Cigna Dental Care (DHMO) DOES YOUR PLAN COVER ORTHODONTICS IN PROGRESS? Even though you or a family member is in the middle of “active orthodontic treatment,” when you join the Cigna DHMO*, your plan may help pay some of your orthodontic costs. Q: What is “Orthodontics in Progress”? Orthodontics in Progress Example** (Based on Patient Charge Schedule K1-08) A: Are you getting “active orthodontic treatment” that will not be finished until after your Cigna plan takes effect? “Active treatment” means the orthodontist has started . 24 months of active treatment to make your teeth move by putting bands between your teeth, or by putting an began on 08/09/12. orthodontic appliance (such as braces) in your mouth. If so, this is called “Orthodontics in Progress.” . On 1/1/13, the patient’s Cigna DHMO plan takes effect. Q: Do I have coverage for Orthodontics in Progress under my new . 20 months of active treatment Cigna plan? remaining. A: Your Cigna DHMO Patient Charge Schedule (“PCS”) tells you if you have orthodontic coverage under your plan. Your coverage with Cigna may be different . Cigna DHMO contribution for from the coverage you had under your old plan. Keep in mind, enrolling in the Cigna active treatment per month is plan does not change the terms of the contract you signed with your orthodontist $26.25. when your treatment began. You are still responsible for the orthodontist’s total case . The Cigna DHMO plan pays $525 fee. ($26.25 per month x 20 months of remaining active treatment). Q: What happens if I enroll again after my plan year ends and get a In this example, the patient’s Cigna new PCS at the beginning of a new coverage period? DHMO plan would contribute $26.25 A: Even though you would continue to be covered by a Cigna DHMO plan when a per month of the monthly orthodontic new coverage period begins, sometimes your PCS will change.
    [Show full text]
  • The Frontal Cephalometric Analysis – the Forgotten Perspective
    CONTINUING EDUCATION The frontal cephalometric analysis – the forgotten perspective Dr. Bradford Edgren delves into the benefits of the frontal analysis hen greeting a person for the first Wtime, we are supposed to make Educational aims and objectives This article aims to discuss the frontal cephalometric analysis and its direct eye contact and smile. But how often advantages in diagnosis. when you meet a person for the first time do you greet them towards the side of the Expected outcomes Correctly answering the questions on page xx, worth 2 hours of CE, will face? Nonetheless, this is generally the only demonstrate the reader can: perspective by which orthodontists routinely • Understand the value of the frontal analysis in orthodontic diagnosis. evaluate their patients radiographically • Recognize how the certain skeletal facial relationships can be detrimental to skeletal patterns that can affect orthodontic and cephalometrically. Rarely is a frontal treatment. radiograph and cephalometric analysis • Realize how frontal analysis is helpful for evaluation of skeletal facial made, even though our first impression of asymmetries. • Identify the importance of properly diagnosing transverse that new patient is from the front, when we discrepancies in all patients; especially the growing patient. greet him/her for the first time. • Realize the necessity to take appropriate, updated records on all A patient’s own smile assessment transfer patients. is made in the mirror, from the facial perspective. It is also the same perspective by which he/she will ultimately decide cephalometric analysis. outcomes. Furthermore, skeletal lingual if orthodontic treatment is a success Since all orthodontic patients are three- crossbite patterns are not just limited to or a failure.
    [Show full text]
  • Controlling the Intraoral Environment Before and After Implant Therapy a Peer-Reviewed Publication Written by Richard Nejat, DDS; Daniel Nejat, DDS; and Fiona M
    Earn 4 CE credits This course was written for dentists, dental hygienists, and assistants. Controlling the Intraoral Environment Before and After Implant Therapy A Peer-Reviewed Publication Written by Richard Nejat, DDS; Daniel Nejat, DDS; and Fiona M. Collins, BDS, MBA, MA PennWell is an ADA CERP Recognized Provider Go Green, Go Online to take your course This course has been made possible through an unrestricted educational grant. The cost of this CE course is $59.00 for 4 CE credits. Cancellation/Refund Policy: Any participant who is not 100% satisfied with this course can request a full refund by contacting PennWell in writing. Educational Objectives smoking and drinking. The association between systemic Upon completion of this course, the clinician will be able to disease and periodontal health is well established, and the do the following: relationship between periodontal health and peri-implant 1. Understand the process of patient selection and the health is well established. For short- and long-term success systemic considerations that affect candidacy for of implants, patients must be willing and able to perform implant treatment effective oral hygiene measures to control the intraoral 2. List the adverse implant outcomes due to biological/ microbial environment. microbiological factors and mechanical factors 3. Control the intraoral environment during all three Patient Selection phases of implant treatment—presurgical, postsurgical, Patient selection during implant treatment planning involves and maintenance many considerations. In addition to the intraoral environ- 4. Understand the precautions to be taken when using ment, the patient’s general health status and smoking habits instruments around implants and the potential damage are highly relevant.
    [Show full text]
  • Painful Realities: General Anesthesia Access in Sacramento Gmc Dental Managed Care
    PAINFUL REALITIES: GENERAL ANESTHESIA ACCESS IN SACRAMENTO GMC DENTAL MANAGED CARE June 2020 SACRAMENTO COUNTY ORAL HEALTH PROGRAM BARBARA AVED ASSOCIATES PREPARED FOR THE MEDI-CAL DENTAL ADVISORY COMMITTEE Sacramento County Oral Health Program Prepared by Barbara Aved Associates Funding for this study was made possible by California Department of Public Health Office of Oral Health To obtain additional copies of this report please contact: Sacramento County Department of Health Services Public Health Division 7001-A East Parkway, Suite 600 Sacramento, CA 95823 Phone: (916) 875-6259 TTY: (877) 835-2929 Website: www.scph.com 2 | Page TABLE OF CONTENTS “These families don’t return [to the dentist] as they feel embarrassed and judged and usually just wait until their special needs child is complaining of pain or some type of issue with the child’s teeth is visible.” — Alta CA Regional Center staff “Failure to accommodate patients with special health care needs could be considered discrimination and a violation of federal and/or state law.” — American Academy of Pediatric Dentistry EXECUTIVE SUMMARY .................................................................................................................... 4 INTRODUCTION ............................................................................................................................... 8 PROCESS AND DATA SOURCES ...................................................................................................... 10 Study design ............................................................................................................................
    [Show full text]
  • Managing the Developing Occlusion
    Managing the Developing Occlusion A guide for dental practitioners INTRODUCTION Whether knowingly or not, every dentist ORTHODONTIC ADVICE who treats children practices orthodontics. First, when considering potential orthodontic It is not enough to think of orthodontics advice for the patient, the dental practitioner should consider the following general questions: as being solely concerned with appliances. 1. Is the patient’s basic dental health under Orthodontics is the longitudinal care of control and is the parent available for the developing occlusion and any consultation? problems associated with it. All qualified 2. Is the orthodontic condition minor, moderate dental practitioners should be encouraged or severe in nature and does it cause the patient to consider the orthodontic requirements concern? of their patients. 3. Can the practitioner provide adequate advice in the short, medium and long term, or is specialist advice required and, if so, at what level? This booklet is designed to help general dental practitioners examine children 4. Would the patient and parent prefer a specialist opinion? from an orthodontic viewpoint. It will highlight the assessment of patients at TREATMENT different stages of dental development Secondly, when considering potential orthodontic and will outline the interceptive treatment for patients, the dental practitioner should consider the following general questions: procedures and treatments available to deal with the conditions most commonly 1. Does the patient want the condition changed? encountered. 2. Is the patient receptive to the idea of, and available for, orthodontic treatment? Before specific assessment and 3. Is specialist treatment required and, if so, at treatments are considered, a general what level? view of the developing dentition and face is advisable.
    [Show full text]
  • The Rationale for the Three Monthly Peridontal Recall Interval
    See you in three months! IN BRIEF • Outlines the relevance of making recall plans individual to a patient’s needs GENERAL The rationale for the three and recognising the importance of compliance with these regimens. • Provides an understanding of the importance of risk assessment of monthly periodontal recall periodontal disease progression. • Enables an understanding of the concept of supportive periodontal therapy and the interval: a risk based approach integration of SPT with risk assessments. J. Darcey1 and M. Ashley2 VERIFIABLE CPD PAPER There is significant evidence to support the regular review of patients with chronic periodontitis. There is, however, com- paratively little evidence to demonstrate how often such reviews should take place. This paper looks at the periodontal healing period, the risks of periodontal progression and current thinking about maintenance programmes. It thus attempts to establish some guidelines that practitioners may use when calculating recall intervals. Clinical relevance The choice of individual, patient-focused recall intervals is essential to limit disease progression and maintain healthy periodontal tissues. These are so often the parting words as in turn give rise to further disease progres- Thus such combinations of active peri- a patient leaves the dental surgery after sion and ultimately failure of periodontal odontal therapy, oral hygiene advice and a course of periodontal treatment: ‘When treatment. The aim of this paper is to assess regular follow up have increasingly dem- would you like to see me again?’ It is the literature and discuss the rationale for onstrated improvements in periodontal then that the clinical auto-pilot engages such programmes. health.5-7 Thus we can begin to see a strong and a figure is reeled off: ‘Three months clinical argument for more regular peri- Mrs Jones.’ Years of education and clini- WHAT IS THE EVIDENCE FOR THE odontal maintenance therapy.
    [Show full text]
  • ICD-9-CM Coordination and Maintenance Committee Meeting September 28-29, 2006 Diagnosis Agenda
    ICD-9-CM Coordination and Maintenance Committee Meeting September 28-29, 2006 Diagnosis Agenda Welcome and announcements Donna Pickett, MPH, RHIA Co-Chair, ICD-9-CM Coordination and Maintenance Committee ICD-9-CM TIMELINE .................................................................................................... 2 Hearing loss, speech, language, and swallowing disorders ........................................... 8 Kyle C. Dennis, Ph.D., CCC-A, FAAA and Dee Adams Nikjeh,Ph.D., CCC-SLP American Speech-Language-Hearing Association Urinary risks factors for bladder cancer ...................................................................... 13 Louis S. Liou, M.D., Ph.D., Abbott Chronic Total Occlusion of Artery of Extremities....................................................... 15 Matt Selmon, M.D., Cordis Osteonecrosis of jaw ....................................................................................................... 17 Vincent DiFabio,M.D., American Association of Oral and Maxillofacial Surgeons Intraoperative Floppy Iris Syndrome ........................................................................... 18 Priscilla Arnold, M.D., American Society of Cataract and Refractive Surgery Septic embolism............................................................................................................... 19 Parvovirus B19 ................................................................................................................ 21 Avian Influenza (Bird Flu)............................................................................................
    [Show full text]
  • Periodontal Disease
    Periodontal Disease Department of Orthodontics and Restorative Dentistry Information for Patients i University Hospitals of Leicester NHS Trust What is Periodontal Disease (Gum Disease)? Periodontal disease is an inflammatory condition affecting the tissues that surround and support the teeth. Periodontal disease leads to pocket formation and bone loss. If untreated, periodontal disease can lead to loosening and loss of teeth. Signs of gum disease include: • Red or purple gums • Swollen or Bleeding gums • Mobile or migrated teeth • Gum recession • Bad breath Gum disease may be present in the absence of these signs. Risk Factors include: • Plaque and calculus • Smoking • Diabetes • Genetic predisposition Obesity, poor nutrition and stress have also been suggested as risk factors. 2 Why is treatment important? Treatment of periodontal disease can help you retain your teeth for longer. As the inflammation around your teeth resolves, your gums will appear healthier, bleeding should stop and tooth mobility may improve. There is also increasing evidence that treatment of periodontal disease can improve your general health. For example, in diabetic patients, good control of periodontal disease can help control blood sugar levels. What can I do to help my gums? Good oral hygiene is the most important factor in ensuring a good outcome with periodontal treatment. You should brush your teeth with a fluoride containing toothpaste for three minutes, twice daily. When you brush your teeth you must ensure you also brush the gum margin. This prevents plaque building up in this area. Bleeding gums is a sign that your gums are not clean enough. If good cleaning is maintained the gums should stop bleeding within two weeks.
    [Show full text]