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Oral surgical treatment under general anesthesia on mentally retarded patients
192
P22-1 Dentoalveolar surgery & Preprosthetic surgery and implantology
operative course was uneventful. He was discharged from our hospital on February 19. Discussion Dental infection might have led to serious consequences. The immunosuppressive drugs such as Tacrolimus (FK506) and Azathioprine (AZP) which were used in the patient might have exacerbated the latent dental infection without symptoms. They made the selection of appropriate medicaments difficult and complicated. There are few reports yet regarding the management of dental infection in the patients after heart transplantation as we have experienced.
5. Oral Surgical Treatment under General Anesthesia on Mentally Retarded Patients
Michiya, M., Murakami, 0., Movioka, N., Muto, T., Kanazawa, 3/1. First Department of Oral Surgery, School of Dentistry, Health Sciences University of Hokkaido, Japan Dental treatment under general anesthesia may be required for mentally retarded patients. For the purpose of total oral treatment of these patients, a team approach and cooperation among restorative dentists, prosthodontists, oral surgeons, and dental anesthetists should be needed because of limitations of general anesthesia. In recent years, we have performed the dental treatment of these patients by such a method. The aim of this study is to evaluate the oral surgical treatment of the mentally retarded patients. In our hospital, 83 mentally retarded patients were treated by a team which included restorative dentists, prosthodontists, an oral surgeon, and a dental anesthetist for 5 years from March, 1992, to July, 1997. Fifty-five of these patients were male and 28 were female. The age range was 15 to 5l years and the mean age was 28.7 years. General anesthesia was carried out a total of 140 times in this period. Of these patients, 68 (44 males and 24 females) were treated with oral surgical treatment such as tooth extraction, apicectomy, removal of cyst, etc., and general anesthesia was performed 79 times. The age range of these cases was 15 to 51 years and the mean age was 29.3 years. We carried out tooth extraction on 68 cases including 32 cases of impacted third molar extraction, 7 cases of apicectomy, and 16 cases of cyst removal. In these cases, because of the limitation of general anesthesia, multiple tooth extraction or the combination treatment of multiple tooth extraction with other oral surgical treatment was often required. If necessary, the suture was performed using absorbable sutures. In cases of relatively major tissue damage caused by surgical procedure, antibiotics were administered for 3 or 4 days. No serious complication such as bleeding, infection, etc. was recognized after surgery.
6. Effectiveness of Antiseptic Mouthwashes on Alveolitis Prevention and Bacterial Count Reduction: Chlorhexidine versus Povidon-Iodine
Sener, B. C. 1, Tasar, E 1, Akyon, y..2 1Department of Oral Surgery, Faculty of Dentistry, 2Department of Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Several antiseptic mouth rinses have been used prior and/or after surgical procedures. Chlorhexidine (CLX) and povidon-iodine (PI) mouthwashes are two of the most frequently used agents. This st~idy aimed to compare the effects of preoperative use of 0,12% CLX (Peridex | and 7,5% PI on alveolitis incidence and bacterial count reduction. Sixty healthy patients undergoing bilateral lower molar extractions were chosen for this study. The study group was divided into four subgroups. In group 1 CLX - saline, in group 2 PI - saline and in group 3 CLX - PI (right - left respectively) was used as mouthwash 5 minutes before extraction. Prior and 5 minutes after rinsing saliva specimens were collected for bacterial quantification. The patients were also followed-up clinically to evaluate the incidence of alveolitis.
7. Oral Health of Abdominal Aortic Aneurysm Patients
Hayrinen-lmmonen, R. 1, Ikonen, T.a, Lepantalo, M. 3, Lindqvist, C. l'z 1Department of Oral and Maxillofacial Surgery, Institute of Dentistry University of ZHelsinki and Departments of Oral and MaxillofaciaI Surgery and 3Vascular Surgery, Helsinki University Central Hospital, Helsinki, Finland Forty eight patients (32 males and 16 females, mean age in both groups 65 years) with an abdominal aortic aneurysm needing operative care were evaluated for their oral health before surgery. It is known that the feared aortic prosthesis infection (mortality rate 17-40%) is most often caused by peroperative contamination by staphylococci and gram negative bacteria, the source of the bacteremia being unclear. Since there is no prospective study evaluating the oral health of these often systemically compromised patients, a study was performed to evaluate the potential dental origin of vascular prosthesis infection. Twelve patients (from a total of 32 patients having a denture) had a broken or illfitting denture, which was a constant source of irritation to the oral mucosa. Thirteen patients had candida infection and altogether 70 potential infection foci (in 20 patients) were found. These results suggest that oral check-up should be included amongst the preoperative examination before vascular surgery.
P22-1 Dentoalveolar surgery & Preprosthetic surgery and implantology
operative course was uneventful. He was discharged from our hospital on February 19. Discussion Dental infection might have led to serious consequences. The immunosuppressive drugs such as Tacrolimus (FK506) and Azathioprine (AZP) which were used in the patient might have exacerbated the latent dental infection without symptoms. They made the selection of appropriate medicaments difficult and complicated. There are few reports yet regarding the management of dental infection in the patients after heart transplantation as we have experienced.
5. Oral Surgical Treatment under General Anesthesia on Mentally Retarded Patients
Michiya, M., Murakami, 0., Movioka, N., Muto, T., Kanazawa, 3/1. First Department of Oral Surgery, School of Dentistry, Health Sciences University of Hokkaido, Japan Dental treatment under general anesthesia may be required for mentally retarded patients. For the purpose of total oral treatment of these patients, a team approach and cooperation among restorative dentists, prosthodontists, oral surgeons, and dental anesthetists should be needed because of limitations of general anesthesia. In recent years, we have performed the dental treatment of these patients by such a method. The aim of this study is to evaluate the oral surgical treatment of the mentally retarded patients. In our hospital, 83 mentally retarded patients were treated by a team which included restorative dentists, prosthodontists, an oral surgeon, and a dental anesthetist for 5 years from March, 1992, to July, 1997. Fifty-five of these patients were male and 28 were female. The age range was 15 to 5l years and the mean age was 28.7 years. General anesthesia was carried out a total of 140 times in this period. Of these patients, 68 (44 males and 24 females) were treated with oral surgical treatment such as tooth extraction, apicectomy, removal of cyst, etc., and general anesthesia was performed 79 times. The age range of these cases was 15 to 51 years and the mean age was 29.3 years. We carried out tooth extraction on 68 cases including 32 cases of impacted third molar extraction, 7 cases of apicectomy, and 16 cases of cyst removal. In these cases, because of the limitation of general anesthesia, multiple tooth extraction or the combination treatment of multiple tooth extraction with other oral surgical treatment was often required. If necessary, the suture was performed using absorbable sutures. In cases of relatively major tissue damage caused by surgical procedure, antibiotics were administered for 3 or 4 days. No serious complication such as bleeding, infection, etc. was recognized after surgery.
6. Effectiveness of Antiseptic Mouthwashes on Alveolitis Prevention and Bacterial Count Reduction: Chlorhexidine versus Povidon-Iodine
Sener, B. C. 1, Tasar, E 1, Akyon, y..2 1Department of Oral Surgery, Faculty of Dentistry, 2Department of Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Several antiseptic mouth rinses have been used prior and/or after surgical procedures. Chlorhexidine (CLX) and povidon-iodine (PI) mouthwashes are two of the most frequently used agents. This st~idy aimed to compare the effects of preoperative use of 0,12% CLX (Peridex | and 7,5% PI on alveolitis incidence and bacterial count reduction. Sixty healthy patients undergoing bilateral lower molar extractions were chosen for this study. The study group was divided into four subgroups. In group 1 CLX - saline, in group 2 PI - saline and in group 3 CLX - PI (right - left respectively) was used as mouthwash 5 minutes before extraction. Prior and 5 minutes after rinsing saliva specimens were collected for bacterial quantification. The patients were also followed-up clinically to evaluate the incidence of alveolitis.
7. Oral Health of Abdominal Aortic Aneurysm Patients
Hayrinen-lmmonen, R. 1, Ikonen, T.a, Lepantalo, M. 3, Lindqvist, C. l'z 1Department of Oral and Maxillofacial Surgery, Institute of Dentistry University of ZHelsinki and Departments of Oral and MaxillofaciaI Surgery and 3Vascular Surgery, Helsinki University Central Hospital, Helsinki, Finland Forty eight patients (32 males and 16 females, mean age in both groups 65 years) with an abdominal aortic aneurysm needing operative care were evaluated for their oral health before surgery. It is known that the feared aortic prosthesis infection (mortality rate 17-40%) is most often caused by peroperative contamination by staphylococci and gram negative bacteria, the source of the bacteremia being unclear. Since there is no prospective study evaluating the oral health of these often systemically compromised patients, a study was performed to evaluate the potential dental origin of vascular prosthesis infection. Twelve patients (from a total of 32 patients having a denture) had a broken or illfitting denture, which was a constant source of irritation to the oral mucosa. Thirteen patients had candida infection and altogether 70 potential infection foci (in 20 patients) were found. These results suggest that oral check-up should be included amongst the preoperative examination before vascular surgery.