Dear Mr. Freud,

Thank you for reaching out to us with your concern. I understand that encountering new personnel can be quite distressing, and I appreciate you sharing your previous experiences with us. Your question regarding the application of **Orthoform** has been noted.

Orthoform, as you may recall, is a local anesthetic that was used in the past. However, I would like to assure you that our current medical team is well-versed in the latest anesthetic techniques and alternatives that are more commonly used today. While Orthoform is not a part of our standard practice, we are committed to ensuring your comfort and safety during any procedure that may require local anesthesia.

If you have any specific preferences or concerns about anesthesia, we would be more than happy to discuss them with you. Our goal is to provide you with the best possible care, tailored to your individual needs.

For immediate assistance or to discuss your concerns in more detail, please do not hesitate to contact **Dr. Truppe** directly at **+43 1 4089500 66**. He is available to address any urgent matters you may have.

We value your trust in our clinic and are here to support you through every step of your care. Please let us know how we can assist you further.

Warm regards,

**Anna Lee Beigle**
Personal Assistant to Michael Truppe, MD


– **Orthoform**: A historical local anesthetic used for pain relief during medical procedures.
– **Local Anesthetic**: A medication used to numb a specific area of the body to prevent pain during surgical procedures.
– **Anesthetic Techniques**: Methods used by healthcare professionals to induce anesthesia, ensuring patient comfort and pain management.

### 2024-01-05 23:28 Telekonsultation

Dear Sigmund Freud,

I hope this letter finds you in moments of comfort amidst your challenging condition. I understand that you have been previously treated with Orthoform for pain relief, and it is of utmost importance that any medical personnel attending to you are well-versed in its application, especially given its critical role in managing your symptoms.

Orthoform, as you may recall, is a local anesthetic and bactericidal desiccant that has been used to alleviate pain in mucosal lesions such as those you have experienced. Its application is relatively straightforward but must be done with care to avoid any further irritation to the affected area.

**Application of Orthoform:**

1. **Preparation**: Before applying Orthoform, it is essential to ensure that the area is as clean as possible to prevent infection and to allow for the best possible adherence of the powder to the lesion.

2. **Application**: A small amount of Orthoform powder should be gently sprinkled onto the lesion or ulcerated area. This can be done using a clean, dry spatula or a similar instrument to carefully distribute the powder over the surface.

3. **Dosage**: The amount of Orthoform used should be just enough to cover the lesion lightly. Over-application should be avoided as it may lead to excess powder being dislodged and swallowed, which is not desirable.

4. **Frequency**: The frequency of application will depend on the severity of your symptoms and the rate at which the Orthoform is naturally removed from the lesion by saliva or other means. It may be necessary to reapply the powder after meals or as directed by your physician.

5. **Monitoring**: After application, it is important to monitor the lesion for any signs of adverse reaction, such as increased irritation, redness, or swelling. If any such symptoms occur, the use of Orthoform should be discontinued, and medical advice should be sought.

6. **Hygiene**: As with any medication, hand hygiene is crucial before and after the application of Orthoform to prevent the spread of infection.

It is also worth noting that while Orthoform can provide significant pain relief, it does not address the underlying cause of the lesion. Therefore, it is typically used as part of a broader treatment plan that may include other interventions such as surgery or radiotherapy.

Given your medical history and the complexity of your condition, it is imperative that any healthcare provider who attends to you is fully informed of your past treatments, current medications, and any allergies or sensitivities you may have. This will ensure that they can provide you with the best possible care.

Please rest assured that I will communicate the importance of this knowledge to all new personnel who may be involved in your care. Your comfort and well-being are of the highest priority.

If you have any further questions or concerns regarding the use of Orthoform or any other aspect of your treatment, please do not hesitate to reach out. My team and I are here to support you through this difficult time.

With warm regards and best wishes for your health,

*Michael Truppe, MD*
*Facharzt für Zahn-, Mund- und Kieferheilkunde*

– **Orthoform**: A white dusting powder used as a local anesthetic and bactericidal desiccant.
– **Desiccant**: A substance that induces dryness by absorbing moisture.
– **Mucosal Lesion**: An abnormality or damage to the mucous membranes.
– **Ulcerated Area**: An area where the surface tissue has been lost, leading to an open sore.
– **Hydroxyaminobenzoic Ester**: The chemical compound of which Orthoform is made.
– **Bactericidal**: Capable of killing bacteria.
– **Prosthesis**: An artificial device used to replace a missing body part, such as a limb or, in your case, to fill the defect in the palate.
– **Maxillectomy**: Surgical removal of part of the upper jaw (maxilla).
– **Trismus**: A condition often referred to as “lockjaw,” which is a reduction in the opening of the jaws caused by muscle spasm, inflammation, or scarring.
– **Radiotherapy**: The use of high-energy radiation, typically used to treat cancer.

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Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

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