Cases reported "Dental Pulp Diseases"

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1/7. 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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2/7. Early loading of interforaminal implants immediately installed after extraction of teeth presenting endodontic and periodontal lesions.

    BACKGROUND: infection in tooth extraction sites has traditionally been considered an indication to postpone implant insertion until the infection has been resolved. PURPOSE: The aim of this study was to evaluate the survival rate of early-loaded implants placed immediately after extraction of teeth with endodontic and periodontal lesions in the mandible. MATERIALS AND methods: Twenty patients in need of mandibular implant treatment and with teeth showing signs of infection in the interforaminal area were included in the study. The patients received four to six implants (Branemark System, Nobel Biocare AB, Goteborg, sweden) in or close to the fresh extraction sockets and received a provisional prosthesis within 3 days. Final prostheses were delivered after 3 to 12 months. The surgical protocol paid special attention to the preservation of high implant stability and control of the inflammatory response. The patients were followed up for 15 to 44 months. RESULTS: No implants were lost, resulting in a 100% survival rate. A mean marginal bone loss of 0.7 mm (SD 1.2 mm) was registered during the observation period. No signs of infection around the implants were detected at any follow-up visit. CONCLUSION: A high survival rate can be achieved for immediately placed and early-loaded implants in the mandible despite the presence of infection at the extracted teeth.
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keywords = mandible
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3/7. The use of bone imaging to detect a periapical lesion of endodontic origin.

    This article reports the detection of a lesion of dental origin in the mandible of a 41-yr-old male patient during a routine bone scan used as a follow-up to cancer therapy. Unfortunately, more than 1 yr passed before the patient's signs and symptoms became severe enough for a definitive diagnosis to be made. A comprehensive dental examination is indicated for patients with positive bone scans in the area of the oral cavity. The use of bone imaging can be recommended to complement the dental examination of high risk patients with suspected metastasis or when all routine dental diagnostic measures are inconclusive.
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ranking = 1
keywords = mandible
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4/7. Mandibular pain as the initial and sole clinical manifestation of coronary insufficiency: report of case.

    A case of anginal pain limited to the mandible with secondary radiation of the pain to the neck and clavicular regions is presented. Although the pain was initially diagnosed as odontogenic in origin, further historical workup suggested the suspicion of referred pain from coronary insufficiency. Immediate cardiac evaluation confirmed the nature of the pain as angina. Important aspects involved with differential diagnosis of referred anginal pain are also discussed.
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keywords = mandible
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5/7. dental pulp metastases and pan-osseous mandibular involvement with mammary adenocarcinoma.

    The case of extensive metastatic carcinoma of the mandible from a primary adenocarcinoma in a 44-year-old female is reported. The case illustrates unusual features related to its presentation, the investigations carried out and the subsequent progress of the condition.
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ranking = 1
keywords = mandible
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6/7. Odontogenic keratocyst as periradicular radiolucency in the anterior mandible: two case reports.

    The differential diagnosis of periradicular radiolucencies is broad. Unusual clinical or radiographic features or failure to resolve after quality root canal treatment should be viewed with suspicion and a biopsy specimen should be submitted for histologic examination. Two cases are reported in which the presence of radiolucent lesions could have been mistaken for those of pulpal origin but were subsequently found to be odontogenic keratocysts.
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ranking = 4
keywords = mandible
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7/7. Arteriovenous malformation of the mandible: report of a case with a note on the differential diagnosis.

    arteriovenous malformations are extremely rare conditions that can result from congenital or acquired abnormalities in the structure of blood vessels; they are potentially fatal. arteriovenous malformations may be asymptomatic or may show various signs and symptoms including soft tissue swelling, pain, changes in skin and mucosal color, erythematous and bleeding gingiva, bruit, and paresthesia. Radiographically, there are no pathognomonic features. The present case illustrates an arteriovenous malformation in a 16-year-old Hispanic female. The case report is unique because the malformation was previously interpreted as a pathosis of pulpal origin and was initially treated as such, although the tooth showed no gross or radiographic dental caries. A broad view of the diagnostic imaging, radiographic differential diagnosis, treatment, and histopathologic description is also presented.
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ranking = 4
keywords = mandible
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