By Ronald E. Goldstein
This e-book, written by way of specialists on dental bleaching, concentrates at the position of bleaching in restorative, periodontal and aesthetic dentistry, and advises dentists concerning the function it could actually play of their practices. The booklet addresses sufferer choice, analysis, remedy making plans, sequencing of remedy and sufferer expectancies. It relates many of the bleaching tools, together with in-office, domestic, matrix, nonvital and mixture bleaching. integrated is a piece at the chemistry of bleaching and an index of ideas, fabrics and items.
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Extra resources for Complete Dental Bleaching
Both the amount and type of foods ingested must be considered when determining an appropriate fasting period. indd 34 6/21/2012 7:39:44 PM b1289 Essentials of Plastic Surgery Anesthetic Implications in Cosmetic Surgery 35 Patients who regularly consume caffeinated beverages who experience caffeine withdrawal headache without their morning coffee are encouraged to drink their cup of black coffee WITHOUT any dairy product. Non dairy creamers are acceptable, if needed. An alternative is OTC caffeine table Patients who are scheduled for afternoon surgery may have a light breakfast not closer than 6 hours prior to their surgery.
13–19. indd 16 6/21/2012 7:37:07 PM b1289 Essentials of Plastic Surgery 17 CHAPTER 2 GRAFTS AND FLAPS Jason P. Ulm and Dennis K. Schimpf Illustrative Case 68 year old male referred by neurosurgeon for evaluation of scalp wound with underlying osteomyelitis. Pt is 10 yrs post craniotomy for brain tumor resection and subsequent XRT. He recently suffered minor blunt trauma to the top of his head and developed a non-healing wound. First procedure — Pt refused free flap reconstruction. The outer table of calvarium was burred down and a wound vac was placed with subsequent Integra placement in preparation for skin graft.
Indd 23 Transplanted tissue that maintains its own blood supply 6/21/2012 7:37:55 PM b1289 Essentials of Plastic Surgery 24 J. P. Ulm & D. K. Schimpf II. indd 25 Table 1. Common Muscle/Musculocutaneous Flaps. Flap Pectoralis Major Blood Supply Type Vessel Reliability Donor Site Morbidity Dissection (Easy, Mod, Hard) V Thoracoacromial Very good Some Easy Pedicle Caliber Moderate Pedicle Length Short Excellent Minimal Easy Large Long III Thoracodorsal Good Minimal Easy Large Long Rectus Abdominus III Superior and Deep Inferior Epigastric Good Some Easy Large Long Gluteus Maximus V Sup/Inf Gluteal Good Significant Moderate Large Long Gracilis II Medial Fem Cir Very good None Easy Moderate Medium Sartorius IV SFA Poor None Easy Moderate Short Tensor Fascia Lata I Lateral Fem Cir Very good Some Difficult Moderate Medium Vastus Lateralis II Lateral Fem Cir Very good Some Moderate Moderate Medium II Lateral Fem Cir Very good Some Easy Moderate Medium Gastrocnemius I Sural Excellent Some Moderate Moderate Short Soleus II Popliteal, PT, Peroneal Good Some Moderate Moderate Short 6/21/2012 7:37:55 PM Grafts and Flaps 25 Rectus Femoris Essentials of Plastic Surgery V Thoracodorsal Serratus b1289 Latissimus Dorsi b1289 Essentials of Plastic Surgery 26 J.