1/10. Pyogenic granuloma subsequent to apical fenestration of a primary tooth.BACKGROUND: The authors present two case reports of patients exhibiting pyogenic granulomas in the maxillary labial mucosa, which were related to an apical fenestration of a primary incisor. CASE DESCRIPTIONS: Several researchers have reported that the gingival wound and surrounding inflammatory tissue typically heal spontaneously after extraction of a fenestrated primary tooth. However, in the cases presented here, the gingival lesion did not heal after the fenestrated teeth were extracted. CLINICAL IMPLICATIONS: After extracting fenestrated teeth, clinicians need to examine the labial area at a follow-up appointment to ensure that the gingival hyperplasia heals properly. The authors suggest performing curettage of the surrounding abnormal tissue at the time of the tooth extraction.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/10. Laser irradiation inhibition of open gingival embrasure space after orthodontic treatment.The purpose of this study was to investigate the inhibitory effect of low-energy laser irradiation on an incidence of open gingival embrasure space after orthodontic treatment. The patient was a 20-year, 7-month-old Japanese female with an Angle Class I malocclusion and crowding in the mandible. Treatment consisted of extraction of maxillary and mandibular first premolars and use of the Edgewise technique. A Ga-Al-As diode laser was used to irradiate an area of 0.5 cm2 at the labial and lingual gingival papilla between the canines. The time of exposure was 6 minutes for 3 days, carried out between the relevelling and en masse stages of movement. The total energy corresponding to 6 minutes of exposure varied from 1.90 J/cm2. There was no further evidence of open gingival embrasure space, except at the mandibular central incisor. Further: an improvement in the gingival inflammation caused by a periodontal disease was observed, and periodontal pocket depth was maintained. These results suggest that low-energy laser irradiation may inhibit the incidence of open gingival embrasure space after orthodontic treatment.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
3/10. Management of interdental papillae loss with forced eruption, immediate implantation, and root-form pontic.BACKGROUND: A 25-year-old Asian woman complained of an unesthetic black triangle between her upper right front teeth. Defective interdental papillae may result from external root resorption, which makes esthetic restoration more difficult. A combined use of forced eruption, immediate implant placement, and a root-form pontic made a successful esthetic and functional restoration. methods: The treatment sequences of this patient included short-term forced eruption, subsequent immediate implant placement after tooth extraction, and a provisional root-form pontic restoration. A final prosthesis was completed 6 months later, followed by clinical maintenance. RESULTS: Papillae were augmented by forced eruption. After immediate implantation and root-form pontic placement had been performed, the peri-implant soft and hard tissues were manipulated and maintained in a stable state. CONCLUSIONS: We successfully reconstructed the interdental papillae and replaced the deficient tooth with an immediate implantation. During 2 years of follow-up, the implant and peri-implant structures remained stable and healthy.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
4/10. Edentulous area tissue graft correction of an esthetic defect. A case report.A patient was left with a severe defect following the extraction of the right maxillary lateral and central incisors. A graft of epithelial and connective tissue was taken from the maxillary tuberosity and placed into the defect. This resulted in the filling of the defect and the correction of the esthetic problem.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
5/10. Repair of anterior gingival deformity with durapatite. A case report.After the extraction of a maxillary anterior tooth, a gingival deformity may occur due to the loss of the labial plate of bone. This often creates an esthetic problem in the construction of a fixed partial denture. In the past, various surgical techniques have been devised to eliminate this gingival defect. A technique using durapatite is discussed.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
6/10. Painful, nonhealing, tooth extraction socket.The oral signs and symptoms of acute leukemia include gingival hypertrophy, gingival hemorrhage, petechiae and ecchymoses, mucosal ulceration, paresthesia, tooth pain, and oral infections. This case was unusual in that the diagnosis of acute leukemia was made only after a biopsy specimen of tissue protruding from the socket of a recently extracted tooth disclosed malignant cells suggestive of leukemia or lymphoma. The diagnosis of epulis granulomatosa should be made only after clinical, radiographic, and microscopic studies have been performed to rule out a malignant process.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
7/10. Management of mandibular fractures in unreliable patient populations.There is a high incidence of complications following treatment of fractures of the dentulous mandible at our institution, which has led us to scrutinize the criteria for maintaining teeth in the line of fracture and to evaluate other factors that may compromise healing of the fractured mandible, especially in an unreliable patient population. We have reviewed the opinions of various authors and agree that management decisions must be individualized. We recommend prompt and stable immobilization, adequate observation, use of a "tickle file" to keep track of missed appointments, and long-acting intramuscular prophylactic antibiotic coverage, all of which will help minimize morbidity associated with teeth in the line of mandibular fractures, especially in high-risk patients. We also recommend extraction of fully or partially erupted third molars in the line of fracture as well as deeply carious teeth, severely mobile teeth, or teeth with half or more of their root surface exposed to the fracture line. Finally, we recommend that intraoral rather than extraoral open reduction be considered when teeth are to be extracted in order to avoid contamination with the extraoral environment, to enhance surgical access, and to lower postsurgical morbidity.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
8/10. Augmentation genioplasty as an adjunct to conservative orthodontic treatment.Augmentation genioplasty can serve as a valuable adjunct to orthodontic treatment. The borderline extraction patient with a good nasolabial angle, protruding lower incisors and a deficient chin often can be treated better by nonextraction orthodontics followed by advancement of the chin than by any regimen involving orthodontic extraction. genioplasty also can be used to improve facial esthetics in the patient with a short mandibular ramus in whom mandibular advancement might well lead to unstable results. In some instances, genioplasty may be a way to overcome the appearance of facial asymmetry without requiring jaw surgery which would complicate a pre-existing adequate occlusion. As a relatively straightforward and predictable procedure, augmentation genioplasty should be used more often in conjunction with orthodontic treatment than it has been in the past.- - - - - - - - - - ranking = 1.5keywords = extraction (Clic here for more details about this article) |
9/10. Periodontal disease in three siblings with familial neutropenia.The periodontal status and treatment of three teenagers in a Finnish family with familial neutropenia is described. The mother was also diagnosed with neutropenia. At initial examination, the 15-year-old male and the 10-year-old female had severe periodontitis, whereas the 13-year-old male had oral ulcerations but no significant periodontal disease. The two siblings with periodontitis were treated and followed approximately 5 years. It was concluded that periodontal therapy including scaling, surgery, and use of antimicrobial agents can be successful in patients with familial neutropenia, and that such patients are not necessarily candidates for full mouth extraction. The role of granulocyte colony-stimulating factor in which was used in the treatment of these patients remains to be established.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
10/10. Epulis granulomatosa: extraction sequellae.Epulis granulomatosa is a post-surgical lesion emanating from an extraction socket. It can be misdiagnosed with lesions of similar appearance, for example, foreign body or pyogenic granulomas, or as a herniation of the maxillary sinus. Based on clinical appearance and microscopic description, granulomas all appear to represent essentially the same lesion. However, pathonomonically, the epulis granulomatosa emanates only from an extraction socket; the other granulomas can be found anywhere in the body.- - - - - - - - - - ranking = 3keywords = extraction (Clic here for more details about this article) |
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