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. Her mandibular right first premolar was being held in place with a denture adhesive, so a dental consult was obtained preoperatively. No other loose dentition was noted by the dentist who removed the loose crown to prevent aspiration of it during the perioperative period. The patient had previously undergone a full mouth rehabilitation, including placement of numerous crowns and 2 fixed partial dentures. It appeared that intubation would not be difficult since her mouth opened 5 cm, the thyromental distance was 6 cm, and she was classified as a Mallampati Class 1

Mask ventilation is a common challenge in edentulous elderly patients due to the insufficient mask seal that often occurs following denture removal. 1 , 2 Many anesthesiologists likely have had the experience of rushing to intubate a patient because of inadequate mask ventilation even after proper placement of an oral pharyngeal airway. With elderly patients, a protracted induction period is often beneficial to ensure adequate anesthetic depth before intubation to avoid extreme swings in blood pressure and heart rate. A gradual induction of

clopidogrel (Plavix). With reperfusion came significant, albeit gradual improvement; the sedation medications were weaned, and the patient was extubated by criteria, which included following verbal commands. Over the course of a 5-day hospital stay, the patient continued to gain strength, function, and sensation of the right side. She was dismissed to physical therapy with expectation of 90% return of function. Two weeks after dismissal from the hospital, she returned to the School of Dental Medicine to have her denture delivered. DISCUSSION It

complications, and suggests associated prevention and management strategies relevant to the practice of anesthesiology. CASE PRESENTATION A 64-year-old male patient (height, 178 cm; weight, 75 kg; body mass index, 23.7 kg/m 2 ) presented to a private oral surgery office for extractions of mandibular teeth and implant placement for an immediate complete denture. The patient’s medical history was significant for hypertension, diabetes mellitus type 2, gastroesophageal reflux disease, chronic lower back pain, and liver and colon cancer (both in remission). His

field for the therapeutic use. Since 1984, we have developed the several kinds of the tissues and organs using cultured living cells by Tissue Engineering Concept. In my lecture I will present bone and skin regeneration, because they are thought to be the most hopeful and clinically available tissue in near future. The first topic is ridge augumentation for implant surgery. In case of implant denture, bone availability is the key to successful placement of endosseous implants in the posterior maxilla. When the thickness of the bone between the sinus and

play an important role. The design of the denture was described. Effects of Anticonvulsants and Antidepressants on Trigeminal Nerve Injury After Implant Surgery Seongtaek Kim, Hyungjoon Aim, Jonghoon Choi, and Chong-youl Kim, Yonsei Univ Dental College, Korea Injury of trigeminal nerve is one of most common complications after implant surgery. Usually the altered sensation and neuropathic pain caused by the nerve injury are temporary, but sometimes it results in permanent neurosensory disorder. Surgical procedure has been the most