Author Archives: chzechze

Hall technique part 2

The Hall technique manipulates the plaque’s environment by sealing it into the tooth, separating it from the substrates it
would normally receive from the host’s diet. The plaque may continue to receive some nutrition from pulpal perfusion, but there is good evidence that if caries is effectively sealed from the oral environment, it does not progress. Continue reading →

Hall technique Part 1

The Hall technique is a novel method of managing carious primary molars by cementing preformed metal crowns, also known as stainless steel crowns, over them without local anaesthesia, caries removal or tooth preparation of any kind. Clinical trials have shown the technique to be effective, and acceptable to the majority of children, their parents and clinicians. The Hall technique is NOT, however, an easy, quick fix solution to the problem of the carious primary molar. For success, the Hall technique requires careful case selection, a high level of clinical skill, and excellent patient management. In addition, it must always be provided with a full and effective caries preventive programme. Continue reading →

Facial pain Part 1

Facial pain and headache syndromes are often seen in the primary care setting. These conditions are usually severe, and the patient presents in obvious distress. A careful history is paramount and should include the following data: Continue reading →

Wound closure techniques other than sutures Part 2

STRENGTH AND SECURITY

In less than three minutes, DERMABOND adhesive provides the strength of healed tissue at 7 days. A strong, flexible 3-dimensional bond makes it suitable for use in closing easily approximated incisions of many types (example—deep, short, long). Continue reading →

Wound closure techniques other than sutures Part 1

Wound closure techniques have evolved from the earliest development of suturing materials to comprise resources that include synthetic sutures, absorbables, staples, tapes, and adhesive compounds. The engineering of sutures in synthetic material along with standardization of traditional materials (eg, catgut, silk) has made for superior aesthetic results. Similarly, the creation of natural glues, surgical staples, and tapes to substitute for sutures has supplemented the armamentarium of wound closure techniques. Aesthetic closure is based on knowledge of healing mechanisms and skin anatomy, as well as an appreciation of suture material and closure technique. Choosing the proper materials and wound closure technique ensures optimal healing. Continue reading →

Odynophagia vs dysphagia

Definitions:

Dysphagia- sticking sensation or obstruction on swallowing

Odynophagia- pain on swallowing. It comes form the Greek words odyno– meaning pain and –phagia meaning swallowing.

These are often used incorrectly. Continue reading →

Le Fort fractures Part 2

Diagnosis

Diagnosis is made based on physical exam findings with confirmation by axial CT. The patient is taken for radiography of the head and neck then after obvious fracture signs the patient is taken to CT scan for more specific anatomic information. To qualify for LeFort Fractures the pterygoid plates must be involved. These are seen posterior to the maxillary sinuses on axial CT and inferior to the orbital rim on coronal slices. Also, the palate is usually mobile on physical exam. Continue reading →