1/17. Garre's osteomyelitis of an unusual origin in a 8-year-old child. A case report.Garre's osteomyelitis is a type of chronic osteomyelitis that primarily affects children and adolescents. Although the disease is well described in the dental literature and is usually associated with an odontogenic infection resulting from caries, a number of other causative factors have been occasionally reported, such as a dental extraction or a mild periodontitis. There have also been cases of unknown aetiology. This paper describes a case of Garre's osteomyelitis in an 8-year-old child, in whom the condition arose following a local periodontal infection in an ectopically erupting first permanent molar that was in infraocclusion. The lesion remained unresolved for a period of over 6 months as a result of misdiagnosis, following a number of unsuccessful treatment attempts. Identification of the true cause and treatment through periodontal surgery resulted in lesion resolution and resolved the diagnostic problem. dentists should be aware that the periodontium may be a potential source of infection for Garre's osteomyelitis in children, particularly in the presence of ectopically erupting posterior teeth. In such cases, periodontal treatment should be sufficient to treat the disease and extraction of the tooth involved may not be necessary.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/17. Unusual presentation of mandibular extraoral sinus in a fourteen year old girl: a case report.A case of fourteen year old healthy girl with complaint of a discharging sinus on the lower right side of face is reported. All teeth were vital and there was no evidence of periodontitis. There was no history of extraction of a tooth. Total leucocyte count, differential leucocyte count, fasting blood sugar, chest x-ray and routine urine examination were within normal limits. actinomycosis and scrofuloderma which simulate such a condition were ruled out by culture study. The intraoral periapical x-ray of mandibular molar showed questionable periapical changes at the time of presentation. But definite osteolysis was observed in the repeat radiograph after three months. It was decided to extract the second molar and curette the sinus tract. The extraction proved to be difficult. On examination of the extracted tooth, it was found that the mandibular second molar and second premolar were fused together. The radiograph of the tooth taken after extraction showed confluence of the premolar pulp with the periodontal membrane. On follow up, the lesion was found to heal satisfactorily.- - - - - - - - - - ranking = 1.5keywords = extraction (Clic here for more details about this article) |
3/17. Facial sinus of dental origin: a case report.Sinus tracts of dental origin opening on the skin can be a diagnostic challenge. A delay in correctly diagnosing these lesions can result in ineffective and inappropriate treatment; however, if recognized early, the sinus tract usually resolves after appropriate endodontic therapy or extraction. We report a case of a cutaneous sinus tract secondary to a periapical abscess of the mandibular first molar tooth. The case was successfully treated by extraction and the sinus tract healed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/17. Clinical repair of an osseous defect associated with a cemental tear: a case report.Cemental tears have been described as detachment of cementum caused by trauma or aging. They often result in severe periodontal lesions that may necessitate the extraction of the affected tooth. This case report describes the clinical resolution of a periodontal lesion associated with a cemental tear. A maxillary central incisor was subjected to endodontic treatment twice with no resolution of a deep distobuccal pocket and a palatal sinus tract from its apical region. The preoperative differential diagnosis for the condition present on the tooth included a vertical fracture and a combined periodontal-endodontic lesion. Surgical exploration of the area revealed a cemental tear on the apical third of the tooth. The cementum fragments were removed, root-end resection was performed, and the osseous lesion was treated with an osseous graft and guided tissue regeneration. Clinical examination of the area 1 year after surgery revealed resolution of both the prior pocket and sinus tract. Radiographic examination of the area showed increased radiopacity in the area of the original lesion, suggesting bone fill.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
5/17. Dentocutaneous fistula.Chronic dental infection is the most common cause of draining sinus tracts of the face and neck. These lesions can be a diagnostic challenge to the clinician who is not familiar with dentocutaneous fistula. diagnostic errors can result in multiple excisions, biopsies, and ineffective long-term antibiotic therapy. patients may require excision of the fistula once the dental abscess has been successfully treated by root-canal therapy or extraction. Nine patients are reported.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
6/17. Odontogenic sinus tract to the neck skin: a case report.We describe a 22-year-old woman with neck skin sinus tract that developed as a consequence of dental infection. The patient was treated twice in an inappropriate way with recurrence of the sinus tract. We opted for an extraction of the tooth. This case illustrates the need for cooperative diagnostic referrals between physicians and dentists.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
7/17. Cutaneous draining sinus tract of odontogenic origin: unusual presentation of a challenging diagnosis.A 44-year-old woman presented with a chronically draining lesion on her cheek just lateral to the nasofacial sulcus. The lesion was refractory to treatment with oral antibiotics. physical examination revealed poor dentition, and a panoramic radiograph demonstrated periapical abscesses in the maxillary right lateral incisor and canine. A diagnosis of cutaneous fistula of odontogenic origin was made, and the patient was treated with tooth extraction. The cutaneous fistula subsequently resolved. Intraoral examinations and radiographs are critical for making the diagnosis of cutaneous draining sinus tract of odontogenic origin. Many patients undergo unnecessary surgical therapies before having the correct diagnosis made, but root canal therapy or surgical extraction is the treatment of choice. A dental origin must be considered for any chronically draining sinus of the face or neck.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
8/17. Calculus-like deposit on the apical external root surface of teeth with post-treatment apical periodontitis: report of two cases.AIM: To report two cases in which calculus-like material was found on external root surfaces of (i) an extracted root and (ii) an apicected part of a root, both of which were removed due to post-treatment refractory apical periodontitis. SUMMARY: In each case, there was a fistulous tract, which did not heal after conventional root canal treatment. The first case did not heal even after apical surgery, and subsequent tooth extraction revealed calculus-like material on a root surface of complex anatomy. The second case showed radiographic signs of healing after apicectomy. histology of the apical biopsy revealed a calculus-like material on the external surface of the root apex. It is suggested that the presence of calculus on the root surfaces of teeth with periapical lesions may contribute towards the aetiology of failure. KEY learning POINTS: Biofilm on the external root surface has been implicated in the failure of apical periodontitis to heal, despite adequate root canal treatment. Calculus-like material was found, in two cases, on the root surface of teeth with post-treatment apical periodontitis, where the only communication externally was a sinus tract.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
9/17. Intraoral examination in pyogenic facial lesions.Pyogenic cutaneous lesions of the cervicofacial region may be due to a variety of causes. One possibility that should be considered is an odontogenic infection secondary to untreated dental caries, periodontal disease or previous maxillofacial trauma. An intraoral examination is mandatory to evaluate the oral cavity for signs of pathology that may be manifested as a purulent cutaneous lesion. patients with odontogenic infection should be referred to a dentist for definitive treatment, which may consist of either endodontic therapy or extraction of the involved tooth and curettage of any abscesses or fistulous tracts.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
10/17. Regional odontodysplasia. Case report with etiologic and treatment considerations.Regional odontodysplasia, a relatively rare developmental abnormality of the dental hard tissues, most often unilaterally and segmentally involves the anterior maxillary teeth of young females. patients often have pulpal pathosis, periodontal manifestations, and irregularities of the eruption sequence of the affected teeth. The resultant reduced density of the enamel and dentin imparts a radiographic appearance of "ghosting" with correspondingly enlarged pulp chambers and canals. Etiology is uncertain; numerous local and systemic factors have been proposed. Treatment may sometimes be controversial, and timing of extractions and restorative procedures is critical. This case report illustrates the signs and symptoms of regional odontodysplasia, to aid clinicians in early recognition of the condition, to provide further evidence that a local circulatory disorder might be involved in its pathogenesis, and to illustrate treatment options that consider the patient's development and welfare.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
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