Table Of ContentCUMULATIVE  INDEX  1994 
Volume 38 
January  THE CLINICAL APPROACH TO RADIOLOGIC DIAGNOSIS, pages 
1-191 
April  BASIC PROCEDURES IN ORAL SURGERY, pages 193-359 
July  PRACTICAL CONSIDERATIONS IN SPECIAL PATIENT CARE, 
pages 361-584 
October  DRUGS PRESCRIBED TO DENTAL PATIENTS, pages 585-805 
Note: Page numbers of article titles are in boldface type 
Absorption, drug interactions affecting, 771  Adults, anxiolytic therapy in, intravenous 
of para-aminophenols, 641  sedation for, 612-613 
of salicylates, 637  oral sedation for, 610-611 
pharmacokinetics of, 590-592  Advance directives, for health care, 561- 
in elderly, 757-758  562 
Abuse, ethical responsibility of dentist in,  Adverse drug effects, 769-783 
569-572  in pediatric patient, 734 
Acetaminophen, 640-643  Aging, normative changes in, 509 
adverse effects of, 642-643  pharmacodynamic / pharmacokinetic 
drug interactions with, 532  changes with, clinical drug use mod- 
for acute orofacial pain, 661  ifications for, 762-765 
opioids with, in oral surgery, 247  Agonists, definition of, 586 
pharmacodynamics of, 641  AIDS, dentist’s response to, 419-420 
pharmacokinetics of, 641-642  Alcohol, and head and neck cancer, 427- 
pharmacotherapeutics of, 642  428 
use in children, 736-737 
Alfentanil, anxiolytic therapy with, 606 
Acetylsalicylic acid. See also Aspirin; 
sedation with, 614 
Salicylates. 
Allergic intolerance, to acetaminophen, 642 
and acetaminophen, 633-644 
to aspirin, 639 
Acquired immunodeficiency syndrome, 
dentist’s response to, 419-420  Allergic reactions, drug-induced, 776-778 
Activated partial thromboplastin time, in  Allergies, history of, 363 
bleeding disorders, 467  in medically compromised patient, and 
Activity limitations, of elderly, self-  treatment risk, 385 
reported, 515-516  Alprazolam, for chronic orofacial pain, 
Acyclovir, drug interactions with, 532  682-683 
for dental lesion associated with HIV in-  for sedation, 614 
fection, 410-411  Alveolar bone loss, and surgical extraction, 
Adenocystic carcinoma, radiolucencies  232 
with, 98-99  in diabetes mellitus, 454 
Adenomatoid odontogenic tumor,  Alveolar crest, in moderate periodontitis, 
radiographic appearance of, 56-57 
Adrenal suppression, medications causing,  Alveolar dehiscence, in moderate 
treatment modifications for, 535  periodontal disease, 25
786  CUMULATIVE INDEX 1994 
Alveolar ridge resorption, in elderly, 508  clinical features of, 75-76 
Alzheimer’s disease, dental care in,  histopathologic findings in, 77 
informed consent for, 555-557  radiographic features of, 76-77 
Ameloblastic fibro-odontoma, radiographic  treatment of, 77 
appearance of, 55-56  Angioedema, drug-induced, 774 
Ameloblastic fibroma, radiographic  with local anesthetics, 625 
appearance of, 54-55  Angular cheilitis, associated with HIV 
Ameloblastoma, 66-69  infection, diagnosis and treatment of, 
clinical features of, 66-67  409 
histopathologic findings in, 68  Ankylosis, of temporomandibular joint, 
radiographic features of, 67-68  radiographic appearance of, 171 
treatment of, 68-69  Ansaid, in oral surgery, 239-240 
American Heart Association  Antagonists, definition of, 586 
recommendations, for antibacierial  Antibacterial prophylaxis, 707-718 
prophylaxis, 709-710  for asplenic patient, 712-713 
Americans with Disabilities Act, and dental  for cardiac patient, 707-709 
care accessibility, 569-570  for diabetic patient, 714-715 
Amides, for local anesthesia, 629  for neutropenic patient, 715-716 
Aminoglycosides, drug interactions with,  with kidney disease, 713-714 
532  with prosthetic joints, 711-712 
Amitriptyline, for chronic tension headache  Antibiotics, drug interactions with, 532 
differential diagnosis, 675  for pediatric patient, 747-749 
for postviral neuralgia differential diag-  in bacteremia, 383-384 
nosis, 677  in endodontic surgery, 319 
Amoxicillin, drug interactions with, 532  in medically compromised patient, 381- 
for antibacterial prophylaxis, 710  402 
for bacterial endocarditis prevention,  treatment risk with, 386 
389-390  in odontogenic infections, effectiveness 
for odontogenic infections, 698  of, antibiotic factors in, 694-695 
Ampicillin, drug interactions with, 700  drug interactions and, 698 
for antibacterial prophylaxis, 710  patient-specific factors in, 695-698 
for bacterial endocarditis prevention, 390  frequently used, 698-703 
for odontogenic infections, 698  selection rationale for, 703-704 
in oral surgery, 248-249  oral, cost of, 697 
Analgesics, drug interactions with, 532  dental use of, 703 
efficacy of, pain mechanisms underlying,  pharmacodynamic/ pharmacokinetic 
646-647  changes with age, clinical drug use 
for chronic pain management, 678  modifications for, 765 
in endodontic surgery, 319  prophylactic, with prosthetic joints, 391 
para-aminophenols as, 641  systemic, in oral surgery, 248-249 
pharmacodynamic/ pharmacokinetic  Anticalculous agents, supragingival plaque 
changes with age, clinical drug use  reduction with, 721 
modifications for, 763-764  Anticholinergics, drug interactions with, 
salicylates as, 634, 636  533 
use in children, 736-738  Anticoagulant therapy, dental treatment in, 
Anaphylaxis, drug-induced, 777  476-477 
Anatomic contraindications, to endodontic  Antidepressants, for chronic pain 
surgery, 306  management, 678, 680-681 
Anemia, management of, in head and neck  Antifungals, drug interactions with, 532 
cancer, 438  in medically compromised patient, treat- 
sickle cell, antibiotic considerations in,  ment risk with, 387 
395  Antihistamines, drug interactions with, 533 
Anesthesia, in disabilities, 492  pharmacodynamic/ pharmacokinetic 
Anesthetics, drug interactions with, 532  changes with age, clinical drug use 
in oral surgery, local long-acting, 245-  modifications for, 765 
246  Anti-inflammatory effect, salicylates and, 
topical, 244-245  636 
local, 619-632. See also Local anesthetics.  Anti-inflammatory medications, in oral 
Aneurysmal bone cyst, 75-77  surgery, 238-241
CUMULATIVE INDEX 1994  787 
Antimicrobials, in odontogenic infections,  dosage of, 638 
frequently used, 698-703  drug interactions with, 532 
in periodontal practice, 719-731  for acute orofacial pain, 661 
subgingival plaque reduction with, 726-  forms of, pharmacotherapeutics of, 637- 
727  638 
supragingival plaque reduction with,  opioids with, in oral surgery, 247 
725-726  systemic toxicity with, 640 
systemic therapy with, indications for,  therapy with, dental treatment in, 473 
727-729  use in children, 737 
Antiplaque agents, supragingival plaque  Asplenic patient, antibacterial prophylaxis 
reduction with, 721  for, 712-713 
Antipyresis, para-aminophenols and, 641  Asplenism, antibiotic considerations in, 
salicylates and, 636  394-395 
Antirejection drugs, in medically  Asthma, dental management with, 373 
compromised patient, treatment risk  Atopy, drug-induced, 778, 781 
with, 386  Atrophic glossitis, in elderly, 506 
Anti-thrombotic effect, salicylates and, 636  Autism, related oral conditions in, 486 
Antivirals, drug interactions with, 532 
Autoimmune lesions, HIV-associated, 
in medically compromised patient, treat- 
diagnosis and treatment of, 416-418 
ment risk with, 387 
Autonomy, of elderly, and dental care, 
Antral mucosal thickening, radiographic 
516-517 
appearance of, 158 
paternalism vs, in special care patient, 
Antroliths, radiographic appearance of, 164 
553-554 
Anxiolytic therapy, 603-617 
Azithromycin, drug interactions with, 700 
barbiturates, 607-608 
for odontogenic infections, 699 
benzodiazepines, 604—605 
chloral hydrate, 609 
drug interactions in, 533 
for chronic pain management, 678 
Bacteremias, and dental procedures, 381- 
for pediatric patient, 738-746 
chloral hydrate, 740-741 
duration of, 383 
diazepam, 743-744 
factors influencing, 381-382 
hydroxyzine, 741-742 
meperidine, 745-746  qualitative nature of, 383 
midazolam, 744-745  role of antimicrobials in, 383 
promethazine, 742-743  Bacterial endocarditis, prevention of, 388- 
intravenous sedation, 611-613, 616  390 
ketamine, 608  Bacterial flora, in pediatric patient, 
opioids, 605-607  pharmacologic principles of, 734 
oral sedation, 610-611  Bacterial infection, HIV-associated, 
propofol, 608-609  diagnosis and treatment of, 413 
reversal agents for, 613  in head and neck cancer, management 
techniques of, 609  of, 437-438 
Apex location, in endodontic surgery, 316  Barbiturates, anxiolytic therapy with, 607- 
Aphthous ulcers, HIV-associated, diagnosis  608 
and treatment of, 416-418  drug interactions with, 533 
Apical curettage, in endodontic surgery,  Basal cell carcinoma syndrome, 
303  radiographic appearance of, 66 
Apicoectomy, anterior, 301-324  Benzodiazepines, anxiolytic therapy with, 
endodontic surgery vs, 301  604-605 
in endodontic surgery, 303-305, 316-317  drug interactions with, 533 
Arch length discrepancy, and third molar  for chronic orofacial pain, 682-683 
removal, 256  Beta-adrenergic blockers, disease 
Arthus reaction, drug-induced, 777, 779  interactions with, 772-773 
Aspiration biopsy, of oral mucosa, 297-298  Bicuspidizing, for surgical removal of 
Aspirin. See also Salicylates.  mandibular first molar, 223 
adverse reactions to, differential diagno-  Biliary excretion, drug interactions 
sis of, 639  affecting, 772 
and acetaminophen, properties of, 641  pharmacokinetics of, 594
788  CUMULATIVE INDEX 1994 
Biopsy, in head and neck cancer diagnosis,  Burkitt’s lymphoma, radiolucencies with, 
431-432  102-105 
of oral mucosa, 279-300. See also Oral  Burning mouth, in diabetes mellitus, 449- 
mucosa.  450 
Biotransformation, of para-aminophenols, 
641-642 
of salicylates, 637 
pharmacokinetics of, 592-593  Calcium channel blockers, disease 
Bleeding, in endodontic surgery, 319  interactions with, 773 
medications causing, treatment modifica-  Cancer, antibiotic considerations in, 393 
tions for, 534  dental management with, 375 
Bleeding disorders, common, and dental  head and neck, nonsurgical management 
treatment, 469-471  of, 425-445 
dental evaluation in, 466—468  radiopacities with, 131-133 
treatment of, 465-482  Candidal stomatitis, in elderly, 508 
Bleeding gums, medication-induced, 530  Candidiasis, HIV-associated, diagnosis and 
Bleeding time, in bleeding disorders, 467  treatment of, 407—409 
Blindness, related oral conditions in, 487  in diabetes mellitus, 450 
Blood count, knowledge of, in treating  in head and neck cancer, management 
HIV-infected patient, 405  of, 435-437 
Body composition, of pediatric patient,  medication-induced, 530 
pharmacologic principles of, 733  Capability, of elderly, and dental care, 514- 
Bone, central hemangioma of, 77-80  516 
clinical features of, 77-78  Capsaicin cream, for chronic orofacial pain, 
histopathologic findings in, 79  683 
radiographic features of, 78-79  Carbamazepine, for trigeminal neuralgia 
treatment of, 79-80  differential diagnosis, 676 
Paget’s disease of, radiopacities with,  Carcinogens, industrial, and head and neck 
147-152  cancer, 429 
removal of, for impacted third molars,  Carcinoma, oral, TNM classification for, 
mandibular, 263-265  433 
maxillary, 273  radiolucencies with, adenocystic, 98-99 
vascular lesions of, clinical features of,  mucoepidermoid, 96-98. See also Mu- 
77-78  coepidermoid carcinoma. 
histopathologic findings in, 79  squamous cell, 93-96. See also Squa- 
radiographic features of, 78-79  mous cell carcinoma. 
treatment of, 79-80  Cardiac collapse, with local anesthetic, 624 
Bone cyst, aneurysmal, 75-77  Cardiac dysfunction, drug-induced, 776 
clinical features of, 75—76  Cardiac pacemaker, antibacterial 
histopathologic findings in, 77  prophylaxis with, 709 
radiographic features of, 76-77  Cardiac patient, antibacterial prophylaxis 
treatment of, 77  for, 707-709 
Bone density, and surgical extraction, 233-  Cardiovascular disease, antibiotic 
234  considerations in, 387-389 
Bone loss, alveolar, and surgical extraction,  dental management with, 369-373 
232  Cardiovascular grafts, antibacterial 
horizontal, in severe periodontitis, 26  prophylaxis with, 709 
vertical, in moderate periodontal disease,  Caries, 14-20 
24  facial/lingual, 16, 20 
Bone marrow, hematopoietic defect of,  in diabetes mellitus, 451 
radiographic appearance of, 38—40  in disabled persons, prevention of, 484- 
Brain injury, related oral conditions in, 488  488 
Bruxism, in disabled persons, management  interproximal, 14-16 
of, 489  occlusal, 16 
Buccal mucosa fibroma, excisional biopsy  radiologic interpretation of, 13-31 
of, 296  recurrent, and restorative materials, 19- 
Bulla, definition of, 281  20 
Bupivacaine, in oral surgery, 245-246  root, 16-19
CUMULATIVE INDEX 1994  789 
Carotidynia, differential diagnosis of,  in cancer populations, selected studies 
medications useful in, 675  of, 436 
Cellulitis, in pediatric patient, antibiotics  supragingival plaque reduction with, 
for, 749  724-725 
Cemental dysplasia, periapical, clinical  Chondrosarcoma, radiolucencies with, 100- 
features of, 127, 137-138  102 
differential diagnosis of, 128-129  radiopacities with, 132 
histologic findings in, 128  Chronic obstructive pulmonary disease, 
management of, 129  dental management with, 373 
radiographic appearance of, 127-128,  Clarithromycin, drug interactions with, 700 
138-139  for odontogenic infections, 699 
radiopacities with, 126-129, 137-139  Clindamycin, drug interactions with, 532, 
treatment of, 139  700 
Central giant cell granuloma, radiographic  for antibacterial prophylaxis, 710 
appearance of, 69-71  for bacterial endocarditis prevention, 
Cephalosporins, dental use of, 702  389-390 
drug interactions with, 532, 700  for odontogenic infections, 699 
for odontogenic infections, 698  in oral surgery, 248-249 
Cerebral palsy, dental management with,  Clinician, role in consent process, 559 
376  Closure, for impacted third molars, 
related oral conditions in, 487  mandibular, 267-270 
Cerebrospinal fluid shunt, antibacterial  maxillary, 275 
prophylaxis with, 709  Clotrimazole, for HIV-associated fungal 
Cerebrovascular accident, dental  lesions, 408, 409 
management with, 377  Cluster headaches, differential diagnosis of, 
in elderly, impact on dental care, 510-  medications useful in, 673-674 
512  Coagulation, cascading pathways for, 480 
Cervical burnout, root caries with, 17-18  following tissue injury, mechanisms of, 
Chalazion forceps and retractor, 292  79 
Cheilitis, angular, HIV-associated,  screening tests of, interpretation of, 468 
diagnosis and treatment of, 409  Coagulopathies, inherited, dental treatment 
Chemical restraints, for special care  in, 473-476 
patients, 564  Codeine, for chronic orofacial pain, 679 
Chemotherapy, dental management with,  in oral surgery, 246-248 
375  Cognitive skills, in medical history, 365- 
in head and neck cancer, 434  366 
in medically compromised patient, treat-  Combination analgesics, use in children, 
ment risk with, 386  738 
Cherubism, 70-73  Communication board, for stroke patient, 
clinical features of, 71-72  512 
histopathologic findings in, 73  Competence, for informed consent, 558, 560 
radiographic features of, 72-73  Compliance, in elderly, 761 
treatment of, 73  in pediatric patient, pharmacologic prin- 
Children. See also under Pediatric.  ciples of, 734-735 
analgesic use in, 736-738  in pharmacotherapeutics, 599-600 
anxiolytic therapy in, 610-612  Computed tomography, indications for, 8— 
dentistry in, pharmacologic considera-  9 
tions in, 733-753  Condensing osteitis, 27 
Chloral derivatives, pharmacodynamic/  radiopacities with, 118-120 
pharmacokinetic changes with age,  Condylar aplasia/hypoplasia, of 
clinical drug use modifications for, 765  temporomandibular joint, radiographic 
Chloral hydrate, anxiolytic therapy with,  features of, 180 
609  Condylar hypeytrophy /hyperplasia, of 
in pediatric patient, 740-741  temporomandibular joint, radiographic 
sedation with, 615  features of, 180-181 
Chlorazepate, anxiolytic therapy with, 605  Congenital disorders, of 
Chiorhexidine, for dry socket prevention,  temporomandibular joint, radiographic 
250  features of, 180-181
790  CUMULATIVE INDEX 1994 
Congenital heart disease, dental  supragingival plaque reduction with, 
management with, 371-372  720-723 
Congestive heart failure, dental  Dentigerous cyst, radiographic appearance 
management with, 372  of, 52-54 
Consultation reports, 365  Dentist-physician communication, 
Cortical trephination, in endodontic  concerning elderly, 513-514 
surgery, 302  concerning human immunodeficiency vi- 
Corticosteroids, drug interactions with, 533  rus, 405-406 
Cough reflex, impaired, in stroke patient,  Dentoalveolar trauma, in pediatric patient, 
512  antibiotics for, 749 
Coumarin therapy, dental treatment in, 476  Denture(s), for disabled patient, 494 
Crestal tissue, mobile, removal of, 210  ill-fitting, palatal papillary hyperplasia 
Crown, condition of, in surgical extraction,  with, 208 
226-227  immediate, 211-215 
Crown/root ratio, as contraindication to  classic, 212-215 
endodontic surgery, 306-307  stage I, 213-214 
Crust, definition of, 281  stage II, 214-215 
Curettage and biopsy, in endodontic  temporary, 215 
surgery, 316  Dependence, of elderly, and dental care, 
Cysts, of maxillary sinus, radiographic  514-515 
appearance of, 162-164  Devitalized tooth, endodontic surgery for, 
Cytomegalovirus, HIV-associated, 
diagnosis and treatment of, 411, 413  Dexamethasone, in intentional replantation, 
Cytotoxic hypersensitivity, drug-induced,  331 
777-778  Diabetes mellitus, 447-463 
antibacterial prophylaxis in, 714-715 
antibiotic considerations in, 393-394 
classification and pathophysiology of, 
Deafness, related oral conditions in, 488  448 
Decision-making capacity, for informed  complications of, 449 
consent, 558, 560  dental management in, 454-459 
of elderly, and dental care, 517  patient evaluation, 454-456 
Degenerative joint disease, of  patient management, 456-458 
temporomandibular joint, radiographic  emergencies in, during dental care, 458- 
appearance of, 171-174, 176  459 
Delayed hypersensitivity reaction, drug-  epidemiology of, 447-448 
induced, 777-778  in elderly, impact on dental care, 510 
Dementia, dental management with, 378  medical treatment of, 453-454 
related oral conditions in, 487  oral manifestations of, 449-453 
Dental care, access to, by disabled persons,  screening tests for, 455 
494-496  signs and symptoms of, 448-449 
by special care patients, 566-569  Diabetic shock, during dental care, 458-459 
Dental caries, in diabetes mellitus, 451  Diazepam, anxiolytic therapy with, 604— 
in disabled persons, prevention of, 484—  605 
488  in pediatric patient, 743-744 
Dental disease, and bacteremia, 382  for sedation, 614 
in disabled persons, prevention of, 484—  in oral surgery, 241 
488  Diet, and head and neck cancer, 428-429 
Dental infection, in pediatric patient,  Difiunisal, for pain, acute, 652 
antibiotics for, 749  maximum recommended dosages, 663 
Dental patient, diabetic, 447-463  in oral surgery, 239 
Dental practitioners, for nursing home  Digital imaging, indications for, 9-10 
patients, 543-544  Digital subtraction imaging, of alveolar 
Dental restorations, in elderly, 503  bone loss, 30 
Dental Risk Assessment and Prognosis  Diphenhydramine, for sedation, 615 
Evaluation Scale, 367-369  Disabilities, 483-498 
Dentate patients, radiographic  and access to care, 494—496 
recommendations for, 5-6  behavior management in, 491-493 
Dentifrices, properties of, 722  communication in, 490
CUMULATIVE INDEX 1994  791 
coordination of care in, 493  with local anesthetics, 626 
informed consent in, 490—491  Drug reactions, in polymedication patient, 
medically compromising conditions vs,  526 
362  Drug therapy, oral manifestations of, 530 
modified radiographic techniques in,  Dry sockets, medication for, 249-251 
491-492  prevention, 250 
oral conditions related to, 486—488  treatment, 250-251 
treatment considerations in, 489-490,  Dysgeusia, management of, in head and 
493-494  neck cancer, 438 
Distoangular impaction, definition of, 259 
Distribution, drug interactions affecting, 
771 
of para-aminophenols, 641  Economic barriers, to dental care, by 
of salicylates, 637  special care patients, 566-567 
pharmacokinetics of, 592  Edentulous areas, in elderly, 506 
in elderly, 758  Edentulous patients, radiographic 
Do not resuscitate /intubate orders, and  recommendations for, 6 
dental team, 562  Elderly, autonomy of, and dental care, 516- 
Dolobid, in oral surgery, 239  517 
Dose-response relationship, of drugs, 587-  capability of, and dental care, 514-516 
588  characteristic oral findings in, 501 
individual variations in, 589  characteristics of, effect on dental care 
pharmacodynamics of, 587-589  provision, 539-540 
Down syndrome, related oral conditions in,  dental assessment of, 502 
486  dental care of, 499-523 
Drilac, for dry socket prevention, 250  impact of diseases on, 509-511 
Drug(s), disposition of, in pediatric patient,  oral factors in, 502-507 
pharmacologic principles of, 733-734  occlusal relationships, 507 
pharmacologic interactions of, 770  oral hygiene, 504-505 
physiologic interactions of, 770-771  oral mucosa, 505-507 
receptors for, alterations in, 771  oral secretions, 505 
pharmacodynamics of, 585-586  periodontal tissues, 503-504 
route of administration of, and absorp-  removable prostheses, 507 
tion, 591  restorations, 503 
in pediatric patient, 735  root caries, 504—505 
solubility of, 590  teeth, 503 
Drug-disease interactions, 772-773  tooth loss, 505 
Drug effects, adverse, 769-783  pharmacologic considerations in, 755- 
increased, with age, 757  767 
Drug-induced illness, 773-778  systemic factors in, 507-514 
accurate diagnosis of, 779-780  dentist-physician communication con- 
in oral cavity, 773-775  cerning, 513-514 
need for treatment of, critical assessment  dependence of, and dental care, 514-515 
of, 780  finances of, and dental care, 518-520 
systemic, 775-776  long-term care needs of, 538 
therapy for, continuous reassessment of,  medication compliance by, 761 
782  medication prescribing for, principles of, 
Drug interactions, 532-533, 770-772  760-761 
affecting absorption, 771  normative age changes in, 509 
affecting biliary excretion, 772  oral and circumoral findings in, 508 
affecting distribution, 771  pharmacodynamics in, 756 
affecting metabolism, 772  pharmacokinetics in, 756-759 
affecting renal excretion, 772  projected population of, 500 
and antibiotic effectiveness, in odonto-  Electrosurgical units, in oral mucosa 
genic infections, 698  biopsy, 287 
and pharmacotherapeutics, 598-599  Elliptical incision, in oral mucosa biopsy, 
pharmacodynamic, 770-771  286 
pharmacokinetic, 771-772  Endarteritis, obliterative, in head and neck 
software for, 527  cancer, management of, 439-441
792  CUMULATIVE INDEX 1994 
Endocarditis, bacterial, prevention cf, 388-  of para-aminophenols, 642 
390  of salicylates, 637 
regimens for, 370  pharmacokinetics of, 593-594 
infective, prophylaxis for, in oral sur-  Exfoliative cytology, in head and neck 
gery, 248-249  cancer diagnosis, 431 
Endodontic surgery, apex location in, 316  of oral mucosa, 298-299 
apicoectomy vs, 301  Exostosis, 120-124 
clinical technique in, 311-320  clinical findings with, 121-122 
flap design, 311-315  radiographic findings with, 122-123 
components of, 302-306  Extraction(s), in intentional replantation, 
apical curettage, 303  333 
apicoectomy, 303-305, 316-317  surgical, 217-236. See also Surgical extrac- 
cortical trephination, 302  tions. 
retroseal, 305-306 
contraindications to, 306-307 
curettage and biopsy in, 316 
for tooth failure diagnosis, 310  Facial form, and impacted mandibular 
future, 320-322  third molar removal, 260 
postsurgical follow-up in, 319-320  Facial neuritis, medication-induced, 530 
retropreparation and filling in, 317-318  Falls, drug-induced, 775 
suturing in, 318-319  Fecal excretion, pharmacokinetics of, 594 
Endodontic treatment, conventional,  Feldene, in intentional replantation, 331 
periapical surgery as alternative to,  Fentanyl, anxiolytic therapy with, 606 
309  sedation with, 614 
in bleeding disorders, 470  Fibroma, ameloblastic, radiographic 
previous, and surgical extraction, 232  appearance of, 54-55 
Envelope flap, definition of, 220-221  Fibro-odontoma, ameloblastic, radiographic 
in impacted mandibular third molar re- 
appearance of, 55-56 
moval, 261-262 
Fibrosarcoma, radiolucencies with, 100-102 
Environmental factors, and head and neck 
Fibrous dysplasia, 142-145 
cancer, 429 
clinical features of, 143 
Epinephrine, and local anesthetics, 627 
histopatholgic findings in, 145 
Epithelial odontogenic tumor, calcifying, 
radiographic appearance of, 143-144 
radiographic appearance of, 57-59 
treatment of, 145 
Epithelial peeling, in oral mucosa biopsy, 
Fibrous healing defect, radiographic 
287 
appearance of, 40-41 
Erosion, definition of, 281 
Field cancerization, and head and neck 
Eruption cyst, radiographic appearance of, 
52  cancer, 429 
Erythema multiforme, medication-induced,  Filling, in endodontic surgery, 317-318 
530, 774  materials for, in intentional replantation, 
Erythematous candidiasis, HIV-associated,  334 
diagnosis and treatment of, 407-409  Filtration, pharmacokinetics of, 589 
Erythromycin, drug interactions with, 532,  Finances, of elderly, and dental care, 518- 
700  519 
for antibacterial prophylaxis, 710  Fine-needle aspiration, in head and neck 
for bacterial endocarditis prevention, 389  cancer diagnosis, 431 
for odontogenic infections, 698  of oral mucosa, 299 
in oral surgery, 248-249  Flabby ridge, augmentation of, 210, 212- 
Erythroplakia, with tobacco and alcohol  213 
use, 430  Flap design, for impacted third molar 
Esters, for local anesthesia, 629  removal, mandibular, 261-263 
Ethical issues, in special patient care, 553-  maxillary, 270-273 
575  in endodontic surgery, 311-315 
Etidocaine, in oral surgery, 245-246  attached gingival flap considerations, 
Ewing’s sarcoma, radiolucencies with, 107-  313-314 
108  general considerations, 312-313 
Excretion, of drugs, in pediatric patient,  specific considerations, 313 
pharmacologic principles of, 734  triangular flap considerations, 315
CUMULATIVE INDEX 1994  793 
in surgical extractions, principles of, 218-  Globulomaxillary cyst, radiographic 
220  appearance of, 45—46 
Floor of mouth, biopsy of, 295  Glossitis, atrophic, in elderly, 506 
Fluconazole, drug interactions with, 532  medication-induced, 530 
for HIV-associated fungal lesions, 408  Gorlin cyst, radiographic appearance of, 
Fluorides, supragingival plaque reduction  59-60 
with, 723  Gorlin-Goltz syndrome, radiographic 
Fluoroquinolones, dental use of, 704  appearance of, 66 
drug interactions with, 701  Granuloma, periapical, radiographic 
for odontogenic infections, 699  appearance of, 27-28 
Flurbiprofen, for pain, acute, 655-656, 661  Granulomatous ulcerations, HIV- 
maximum recommended dosages, 663  associated, diagnosis and treatment of, 
in oral surgery, 239-240  418-419 
Follicular cyst, radiographic appearance of,  Guardians, role in consent process, 559 
52-54 
Foreign bodies, radiopacities with, 129-131 
Frenoplasty, 201-204 
complications of, 203-204  Hairy leukoplakia, HIV-associated, 
excision, 203  diagnosis and treatment of, 411-412 
“Z” plasty, 202-203  Head and neck cancer, 425-445 
Frenum, maxillary labial, prominent, 201  anatomic sites of, 427 
Fungal infection, HIV-associated, diagnosis  causes of, 426-429 
and treatment of, 407-408  diagnosis of, 430-432 
in head and neck cancer, management  biopsy, 431 
of, 435-437  clinical examination, 430 
exfoliative cytology, 431 
fine-needle aspiration, 431 
radiographic imaging, 431—432 
Gag reflex, impaired, in stroke patient, 512 
toluidine blue staining, 431 
Gagging, medications causing, treatment 
epidemiology of, 426 
modifications for, 535 
infection in, management of, 435-438 
Gastric acid levels, in pediatric patient, 
mucositis in, management of, 434—435 
pharmacologic principles in, 734 
obliterative endarteritis /o steoradione- 
Gastric emptying, in pediatric patient, 
crosis in, management of, 439-441 
pharmacologic principles of, 734 
oral complications in, acute, 434—438 
Gastric irritation/bleeding, aspirin and, 
chronic, 439-441 
639-640 
Gastrointestinal disturbances/bleeding,  salivary gland dysfunction in, manage- 
drug-induced, 775  ment of, 439 
Gelfoam, for dry socket prevention, 250  staging and prognosis in, 432-433 
Generalized radiopacities, 137-153  TNM classification for, 433 
Gentamicin, for antibacterial prophylaxis,  treatment of, 433-441 
710  chemotherapy and radiation, 434 
for bacterial endocarditis prevention, 390  resection, 433-434 
Geriatric dentistry. See under Elderly.  Health care, access to, by special care 
Giant cell arteritis, differential diagnosis of,  patients, 555, 566-569 
medications useful in, 674-675  Hearing impairment, related oral 
Giant cell granuloma, central, radiographic  conditions in, 488 
appearance of, 69-71  Heart disease, dental management with, 
Gingiva, linear erythema of, HIV-  370-372 
associated, diagnosis and treatment of,  ischemic, in elderly, impact on dental 
413-414  care, 509-510 
Gingival flap, attached, components of, 314  Heart failure, congestive, dental 
Gingival hyperplasia, drug-induced, 774-  management with, 372 
775  Heart murmurs, antibacterial prophylaxis 
in diabetes mellitus, 451, 453  with, 708 
medication-induced, 530  Heart transplant, antibacterial prophylaxis 
Gingivitis, necrotizing, HIV-associated,  with, 709 
diagnosis and treatment of, 413-415  dental management with, 372-373
794  CUMULATIVE INDEX 1994 
Heart valve prosthesis, antibacterial  antibiotic considerations in, 396 
prophylaxis with, 709  dental management with, 375 
Hemangioma, bone, central, 77-80. See also  dentist-physician interaction concerning, 
under Bone.  405-406 
Hematologic disorders, dental management  dentist’s response to, 419-420 
with, 376  epidemiology of, 403-405 
Hematopoietic bone marrow defect,  Hydroxyzine, anxiolytic therapy with, in 
radiographic appearance of, 38-40  pediatric patient, 741-742 
Hemodialysis, antibiotic considerations in,  sedation with, 615 
392  Hypercementosis, radiopacities with, 124— 
Hemophilia, dental treatment in, 473-475  126 
Hemorrhage, in head and neck cancer,  Hyperglycemic crisis, during dental care, 
management of, 438  458-459 
oral, in acute myelogenous leukemia, 472  Hyperparathyroidism, radiopacities with, 
in von Willebrand’s disease, 476  146-147 
Hemostasis, agents for, in bleeding  Hypersensitivity reactions, drug-induced, 
disorders, 471  776 
- mechanisms of, 479-481  Hyperventilation syrdrome, with local 
Heparin therapy, dental treatment in, 476  anesthetic, 624 
Hepatic disease, and antibiotic 
Hypnotics, drug interactions with, 533 
effectiveness, in odontogenic 
Hypoglycemic crisis, during dental care, 
infections, 696-697 
458 
Hepatic effects, of aspirin, 640 
Hypotension, orthostatic, in elderly, impact 
Hepatic first pass metabolism, in drug 
on dental care, 513 
biotransformation, 593 
medications causing, treatment modifi- 
Hepatic metabolism, in elderly, 757-759 
cations for, 534 
Hepatitis, dental management in, 375 
with local anesthetics, 625 
Herpes infection, HIV-associated, diagnosis 
and treatment of, 408, 410-411 
Histiocytosis, Langerhans’ cell, 90-93. See 
also Langerhans’ cell histiocytosis. 
Ibuprofen, for acute pain, 653-654, 661 
HIV-infected patient, treatment of, barriers 
maximum recommended dosages, 663 
to, 567-568 
in intentional replantation, 331 
practical considerations in, 403-423 
plus codeine, for acute pain, 658-659 
Hodgkin’s disease, radiolucencies with, 
102-105  maximum recommended dosages, 
Homebound/nursing home patients,  663 
demographics of, 537-538  plus hydrocodone, for acute pain, 660 
dental care for, 537-551  maximum recommended dosages, 
commitment to, 543-544  663 
delivery of, 544-545  plus oxycodone, for acute pain, 659-660 
reimbursement issues in, 547-548  maximum recommended dosages, 
setting goals for, 545-546  663 
strategy development and initiation of,  use in children, 737-738 
546-547  Idiopathic osteosclerosis, 113-116. See also 
functional status of, definition of, 538-  Osteosclerosis. 
539  Immune compromise, medications causing, 
health in, definition of, 538-539  treatment modifications for, 534—535 
oral health characteristics of, differences  Immunohistochemical studies, of oral 
in, 540-542  mucosa, 299 
Horizontal impaction, definition of, 259  Immunosuppressive drugs, in medically 
Hospitalizations, in medically  compromised patient, treatment risk 
compromised patient, and treatment  with, 386—387 
risk, 385  Impacted third molars, removal of, 255- 
Host defense mechanisms, and antibiotic  278. See also Third molars. 
effectiveness, in odontogenic  Incision lines, in surgical extractions, 
infections, 695-696  placement of, 220 
Human immunodeficiency virus. See also  Incompetence, for informed consent, 558, 
HIV-infected patient.  560