Cases reported "Dental Fistula"

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1/9. Garre's osteomyelitis associated with a fistula: a case report.

    A report of Garre's osteomyelitis of the mandible associated with a fistula is presented. Elimination of pulpal periapical infection through endodontic therapy was shown to be an effective treatment. The total bone healing was observed one year later.
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keywords = mandible
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2/9. Comprehensive treatment concept in a young adult patient with severe periodontal disease: a case report.

    This case report describes the comprehensive treatment of generalized, advanced periodontal disease in a young patient. In view of the necessary reconstruction, the extensive destruction of the periodontal tissues required a systematic approach to determine the possibilities and the expectations of the patient. The subsequent oral rehabilitation was accomplished with fixed prosthodontics. In the mandible, strategically important anchor teeth were replaced with implants, allowing smaller units to be inserted. The long-term treatment result, however, can only be ensured with the full cooperation of the patient and consistent periodontal maintenance care.
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keywords = mandible
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3/9. Management of a patient with an accessory maxilla and congenital facial fistula.

    Although accessory jaws are a rare occurrence, the presence of such accessory tissue may cause some bothersome symptoms. This case report helps identify these unusual developmental lesions so that dentists can refer such patients for definitive care and management.
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ranking = 0.23216551078679
keywords = jaw
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4/9. Cutaneous sinus tracts of dental origin.

    The most common etiologic factor responsible for the intermittently suppurating cutaneous sinus tract about the face and neck is the extension of chronic infection of dental origin. Complete healing invariably follows the eradication of this source of infection. The presence of a cutaneous sinus tract about the face and neck should alert members of the profession to the necessity of routine dental examination including roentgenographic surveys of the teeth and jaws.
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ranking = 0.23216551078679
keywords = jaw
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5/9. Sinus tracts to the chin and jaw of dental origin.

    This is a report of seven patients with cutaneous sinus tracts of dental origin who were seen in the past 10 years at the Mayo Clinic. Cutaneous sinus tracts of dental origin most commonly present on the chin or the mandibular region as nodulocystic lesions with suppuration. The lesion may be confused with pyogenic granuloma, foreign body reaction, deep fungal infection, squamous cell carcinoma, or osteomyelitis. However, if the lesion is suspected of being of dental origin, the diagnosis is easily confirmed by dental examination and dental roentgenograms of the involved area. Once the correct diagnosis has been made, treatment by appropriate endodontic therapy leads to prompt resolution of the sinus tract. This is an uncommon disease but one for which a high degree of alertness must be maintained when one sees a nodulocystic or ulcerative lesion of the face.
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ranking = 0.92866204314716
keywords = jaw
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6/9. Gigantic ameloblastoma of the mandible complicating hypoproteinemia: case report.

    A case of gigantic ameloblastoma of the mandible complicating hypoproteinemia is reported. The patient, a 73-year-old male, had refused a surgical procedure on an ameloblastoma for 13 years. By the time the tumor had increased in size and fistulas from it had formed, hypoproteinemia and generalized edema had occurred. The tumor was removed when the serum total protein level had recovered to about 5 g/dl following the administration of a plasma protein preparation. After the operation, hypoproteinemia and edema clearly improved. hypoproteinemia is thought to be caused by leakage of plasma or occasional bleeding through the oral fistulas of ameloblastoma, and in this patient's case, poor nutrition because of his masticatory and swallowing difficulties.
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keywords = mandible
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7/9. A large necrotic defect secondary to a cutaneous sinus tract of odontogenic origin: a case report.

    This article reviews the case of a patient with a periapical dental abscess that drained inferior and posterior to the angle of the jaw and created a large purulent cutaneous defect. Both the diagnosis and treatment issues are discussed.
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keywords = jaw
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8/9. Patent odontogenic sinus tract draining to the midline of the submental region: report of a case.

    We report a case of a 65-year-old woman with a cutaneous sinus tract located on the midline of the submental region secondary to a periapical abscess of the right lateral mandibular incisor. The lesion was nodulocystic and chronically drained purulent fluid. Previous topical and systemic treatments were uneffective. Radiologic examination of the mandible demonstrated diffuse radiolucency involving the apices of four affected incisors. A further radiologic sinogram revealed both the exact origin and the high grade patency of the fistolous tract. Appropriate conservative endodontic therapy led to quick resolution of the sinus tract within sixteen days. In the presence of a single chronic suppurative or nodulocystic lesion of the face, it is always useful to perform a radiologic evaluation of the maxillary and mandibular regions to promptly exclude a possible odontogenic background.
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keywords = mandible
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9/9. Implant periapical lesions: clinical, histologic, and histochemical aspects. A case report.

    A new entity, the "implant periapical lesion," has recently been described. The etiology of this condition could be attributed to overheating of the bone, overloading of the implant, presence of a pre-existing infection or of residual root particles and foreign bodies in the bone, implant contamination during production or during insertion, or placement of the implant in an infected maxillary sinus. In this report, a titanium plasma-sprayed implant had been inserted into the mandible of a 53-year-old patient; after 5 months a fistula developed and periapical radiography showed a large radiolucent image around the apical portion of the implant. The implant was removed, and histologic examination showed necrotic bone and an inflammatory infiltrate inside the hollow portion of the implant. The etiology of the implant failure in this instance could be related to a fracture and vascular impairment of the bone inside the implant during insertion, to external contamination of the implant, or to the poor bone quality of the implant site.
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keywords = mandible
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