Temporomandibular Prosthetic Joint Infections Associated With Propionibacterium acnes: A Case Series, and a Review of the Literature.

Purpose: The orthopedic literature has shown an increasing incidence of prosthetic joint infections (PJIs) associated with Propionibacterium acnes (P acnes). These infections present serious diagnostic and management challenges to the treating surgeons. In this review, the authors report on cases of P acnes-related temporomandibular joint (TMJ) PJIs that have been diagnosed and treated at their institution.

A prospective randomized controlled trial of two different sedation sequences for third molar removal in adults.

Purpose: In oral and maxillofacial outpatient surgery, sedation techniques are an important component in patient management for a wide variety of surgical procedures. Fentanyl and midazolam are commonly used sedatives with different mechanisms of action and specific analgesic or amnestic properties. This study examined whether the order of their administration would affect a patient's pain perception or procedural vital signs.

Secondary reconstruction of panfacial fractures.

Introduction: Although the primary management of patients with panfacial fractures has been well discussed in the medical and dental literature, secondary management of those patients who were not treated or were incompletely treated has not been as well addressed.

Purpose: The purposes of this paper are to review the basic concepts of panfacial fractures and to address the secondary reconstruction of patients whose primary management was less than ideal.

Discussion: In this paper, we present three cases of secondary reconstruction of the maxillofacial skeleton following complicated panfacial fractures.

Risk of adrenal crisis in dental patients: results of a systematic search of the literature.

Background: The authors performed a systematic search of the literature to identify the frequency of, risk of experiencing and factors associated with adrenal crises in dental patients.

Methods: The authors searched PubMed and Ovid MEDLINE (1947-June 20, 2012) and Embase (1974-2012) for English-language articles related to cases of adrenal crisis in dentistry and extracted and analyzed data from the articles. The six authors determined whether the cases identified met a consensus definition of adrenal crisis.