Southern Georgia Oral Surgery in Statesboro-Roger Myers DMD-Traumatic Soft Tissue Lesion

The patient presented as a 27 yr old female with no medical issues, medications and NKDA
CC " This bump under my tongue gets larger and goes away, but it will always come back"
The patient also expressed that the lesion gets larger when she is hungry.  At dinner time the lesion become markedly larger and then burst with thick fluid be exuded.  The condition has been ongoing for several months and  continues to be a recurring theme. 
   The lesion is fluctuant, soft and non-tender to touch.  The patient is not experiencing any parathesia or glossodynia.  However, clinically the patient appeared to have multiple crowded lower anterior teeth which seemed to be the etiology causing the problem.  The lesion consisted of a red/blue appearance and white ulcerated superficial surface.
Assumptive diagnosis: 
   1)  Traumatic ulcer
   2)  mucocele
   3)  Ranula
   4)  Vascular lesion


MUCOCELE
The lesion appeared to be a mucocele.  Mucoceles usually occur on the lower lip, ventral surface of the tongue and inner part of the cheek, as these are frequent areas of mouth trauma, but they can occur anywhere inside the mouth. A mucocele is usually a single bump with a slight bluish or normal skin color, varying in size from 1/2 to 1 inch, and it is soft and painless. A mucocele may appear suddenly, while a mucus-retention cyst may slowly enlarge.

Southern Georgia Oral Surgery in Statesboro GA
Roger Myers DMD

Oral surgeon in Statesboro GA- "Sedation for pediatric patients"

                                      Southern Georgia Oral Surgery in Statesboro GA

 
As an oral surgeon (Roger Myers DMD) I derive amazing gratification from having the opportunity to treat pediatric patients. Pediatric patients represent an integral component of my practice, so measures had to be taken in order for these patients to feel comfortable in an oral surgery environment.  However, through experience it has been obvious that providing this for of care requires a cohesive team effort.  Practice and rehearsal plays a major role in preparing to provide treatment to young, anxious and impressionable youth.  Fortunately, we have the ability and experience to provide adjunctive methods in order to make our pediatric have a more comfortable experience.  SEDATION!!!!!

1)  Oral Sedation
     a)  Benefit:  Oral sedation is great method of providing a calming effect to the pediatric patients
          environment.  IT provides a feeling of disassociation, anxiety reduction and overall feeling of
          relaxation.  Depending on dosage and type, oral sedation can take effect within 30-45 mins
          after consumed.  Halcion is our med of choice and seems to tolerated very well by out patients.
     b)  Downfall:  The absorption and time to take effect is a major concern. 
2)  Inhalational Sedation 
     a)  Benefit: This method gives the patient the opportunity to participate by holding the mask to
          their face.  This in effect can acclimate the patient to the process and environment, which
          can lead to better compliance by the patient.  Nitrous oxide is the inhalation drug of choice.
     b)  Downfall:  Time to take effect, efficacy of method and adverse reactions by patients
3)  IV Sedation:
      a)  Benefit:  IV sedation is a great adjunct to an oral surgeon or general dentist because of            
           the degree of effectiveness that this method provides.  Analgesic, disassociative and amnestic
           medications can be provided concomitantly and reversed if necessary.
      b)  Downfall:  Medical issues strongly dictate the degree at which the anesthesia can be provided.