Botox has been used in the medical field since 1987 principally for its cosmetic treatment of wrinkles on the face and for its therapeutic uses in the management of strabismus, cervical dystonia, blehpharospasm and juvenile cerebral palsy amongst other disorders. The toxin used is botulinium toxin A (BTX-A), which is a neurotoxin, extracted from the anerobic bacteria-Clostridium botulinium. These BTX-A molecules act by inhibiting the release of acetylcholine from presynaptic vessels at the nerve terminals leading to an inhibition of muscle contraction. A growing number of dental surgeons have now been using this toxin as a part of their armamentarium for the management of various musclerelated dental disorders like bruxism, massetric hypertrophy, myofacial pain, trismus, TMJ disorders and for retraining muscles during orthodontic treatment. This procedure has also been found to be a minimally invasive, safe and reproducible alternative to surgery for perioral esthetic enhancement, which includes treating high lip-line cases, gummy smiles and lip augmentation. Pleasing and promising results have been obtained with this technique showing none or mild and transient side effects.
Background: Alveolar osteitis is one of the most common post-odontectomy complications. An agreement is lacking regarding the relative merits of various treatment methods. Of these treatments were alvogyl and Zinc oxide eugenol after saline irrigation. Objectives:The aim of the current study therefore was to evaluate the efficacy of both agents. Methods: A total of 987 patients were categorized into 4 groups (I, II, III, and IV) according to pain severity (mild, moderate, severe, or agonizing, respectively). Each group was randomly divided into two subgroups according treatment method: Alvogyl (Alv) and Zinc oxide eugenol following saline irrigation (I+Z). Results: Although, Alv was palliative in group. I, I+Z was curative in group, I and palliative in group II. Both agents were ineffective otherwise. Conclusion:The author recommends I + Z over alv.
Purpose Dry socket is one of the most common complications following dental extraction. Although blood clot disintegration is known to be the cause of the condition, an agreement is lacking regarding the relative merits of various treatment methods. Despite the fact that ozone is one recommended therapy, the literature is deprived of any comparative study for the different forms of ozone delivery. The aim of the current study therefore was to evaluate the efficacy of different forms of ozone as a treatment for this condition. Methods A total of 1521 patients were categorized into four groups (I, II, III and IV) according to pain severity depending on the need and the response to analgesics (mild, moderate, severe or agonizing, respectively). Each group was randomly and blindly divided into three subgroups according treatment method: Oleozon (Ole) which is an ozonized olive oil, ozonized water (OW), ozone gas (O3). Results While Ole, OW and O3 were curative in groups I and II, only O3 was curative for groups III and IV. OW was palliative in group IV. Only O3 was definitive therapy for all groups. Conclusion Ozone in the gaseous form is the most potent form of ozone therapy. Although ozonized oil shows the weakest form, OW had an intermediate potency.
Dry socket is the most common post-odontectomy complication. Although blood clot disintegration is known to be the cause of the condition, agreement is lacking regarding the relative merits of various treatment methods including surgical curettage. The aim of the current study therefore was to evaluate the effectiveness of surgical curettage in a large population. A total of 506 patients were categorized into 4 groups (I, II, III, and IV) according to pain severity (mild, moderate, severe, or agonizing, respectively). All patients underwent brief saline irrigation of the socket with 2ml normal saline followed by curettage, irrigation with 6mL normal saline and suturing. The results showed that curettage was a potent curative method for all groups. As a conclusion, curettage is a recommended treatment method.
Purpose. Alveolar osteitis is the most common post-odontectomy complication. Although blood clot disintegration is known to be the cause of the condition, an agreement is lacking regarding a treatment of choice. The aim of the current study therefore was to evaluate major autohemotherapy as one treatment method. Patients and Methods. A total of 183 patients were categorized into 4 groups (I, II, III, and IV) according to pain severity (mild, moderate, severe, or agonizing, respectively). Major autohemotherapy was performed for all patients by withdrawing 225mL of patient's blood and mixing them with 225mL of Oxygen-Ozone gas (where Ozone concentration was 50µg/mL gas) Results and Discussion. Despite AHT was a high-potency curative treatment for groups I and II, it was palliative for group IV. For group III, it oscillated between being a curative or a palliative treatment with a statistically insignificant difference. Conclusion. AHT might be a recommended treatment for AO
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