General Information Multi-dose vials of local anesthetics often contain preservatives such as parabens which are allergenic; this is not the case with single use dental cartridges. The presence of a vasoconstrictor usually is accompanied by an antioxidant such as a bisulfite which also may be allergenic, and should be avoided in cases of atopy Multi-use […]
Antibiotic Coverage Spectrum of Activity of Common OMFS Antibiotics Common OMFS Antibiotics Antimicrobial Therapy Penicillin Mechanism of Action D-Ala-D-Ala structural analog. Bind penicillin-binding proteins (transpeptidases) and blocks transpeptidase cross-linking or peptidoglycan cell wall. Activates autolytic enzymes. Mechanism of Resistance Penicillinase in bacteria (a type of β-lactamase) cleaves β-lactam ring. β-Lactamase Inhibitors Clavulonic acid, Avibactam, Sulbactam,
Articles Submental Intubation in Maxillofacial Procedures: A More Desired Approach than Nasotracheal Intubation and Tracheostomy Submental Intubation in Oral and Maxillofacial Surgery – A Prospective Clinical Study Indications Contraindications to nasotracheal intubation – epistaxis, CSF fluid leakage, rhinorrhea Pan facial trauma Basal bone fractures Orthognathic surgery + Rhinoplasty Craniomaxillary Surgery Reasons to a Paramedial Incision
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Precedex (Dexmetatomidine) Dexmedetomidine is a specific and selective alpha-2 adrenoceptor agonist. By binding to the presynaptic alpha-2 adrenoceptors, it inhibits the release if norepinephrine, therefore, terminate the propagation of pain signals. Activation of the postsynaptic alpha-2 adrenoceptors inhibits the sympathetic activity decreases blood pressure and heart rate. Benzodiazepines In order for GABAA receptors to be
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CPT Code Maxillary/Mandibular Osteotomies 21141 – Maxillary osteotomy, LeFort 1, one piece 21145 – Maxillary osteotomy, LeFort 1, one piece w bone graft 21142 – Maxillary osteotomy, two pieces, segment mvmt any direction, no bone graft 21143 – Maxillary osteotomy, three+ pieces, seg mvmt any direction, no bone graft 21188 – Midface osteotomy/recon (other than
ICD-10 Code Skeletal Deformities M26.62 – Arthralgia of TMJ D68.311 – Acquired Hemophilia (Hemophilia A) M26.01 – Maxillary Hyperplasia M26.03 – Mandibular Hyperplasia M26.02 – Maxillary Hypoplasia M26.04 – Mandibular Hypoplasia K08.23 – Severe atrophy of mandible K08.26 – Severe atrophy of maxilla M26.05 – Macrogenia M26.06 – Microgenia M26.11 – Maxilary asymmetry M26.12
Article Iliac Crest Grafting for Mandibular Reconstruction Marginal VS Segmental Resection Marginal Resection: involves the alveolar portion of the bone with an intact inferior or posterior mandibular border, maintaining continuity. Goal is to restore the morphology of the alveolar process to facilitate placement of dental implants or provide an anatomic foundation for a dental prosthesis. Segmental
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Rigid vs Functionally Stable Fixation Rigid fixation: internal fixation that is stable enough to prevent micromotion between bony fragments under normal function Functionally Stable Fixation: internal fixation that is not “rigid” but satisfies the goals of maintaining fragment alignment to permit healing during active use of the bone Rigid Fixation Functionally Stable Fixation (Nonrigid) Reconstruction
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Procedure for Preparing Platelet Rich Plasma Draw the appropriate amount of anticoagulant Transfer the anticoagulant into the plasma chamber (white part) 1mL for 20mL and 2 mL for 60mL Draw blood from the patient (20 mL or 60 mL) After drawing the blood, invert the syringe several times to ensure adequate mixing of the blood
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Allergan Manufacturer Guide Allergan Medication Guide Botox Mechanism of Action Botulinum Toxin A is being used frequently in cosmetic surgical practices to inhibit the function of the muscles of facial expression. Botulinum Toxin is an endotoxin produced by the bacterium Clostridium botulinum, a gram positive anaerobic organism. The primary effect of botulinum toxin is receptor-mediated
