1/4. Oro-dental manifestations of the Schwartz-Jampel syndrome.A boy with the Schwartz-Jampel syndrome (chondrodystrophic myotonia) had a number of oro-dental complications. These included difficulty in tooth extraction and orthodontic care due to a small oral aperture and rigidity of the temporo-mandibular joints. General anaesthesia was hazardous because of a propensity to malignant hyperthermia, and endotracheal intubation was difficult because of shortness and rigidity of the neck and the small size of the laryngeal structures. awareness of these potential problems is crucial for anaesthesia and comprehensive dental management. The radiological demonstration of dentigerous cysts is a hitherto unreported observation in this disorder.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/4. Central odontogenic fibroma. A report of two controversial cases illustrating diagnostic dilemmas.Two unusual cases of central odontogenic fibroma are described and used to illustrate differential diagnostic problems in this controversial group of lesions. The first case had a cystic lesion noted on routine radiography in the left ramus of the mandible. This particular case was unusual histologically as it showed in addition to typical areas of odontogenic fibroma a small inflamed cyst lined by epithelium containing many hyaline bodies. The second case presented with anaesthesia of the right lower lip and an enlarged chin prominence. The lesion was diagnosed as an odontogenic fibroma but with a somewhat unusual histological appearance in that there were abundant areas of osseous metaplasia throughout the lesion.- - - - - - - - - - ranking = 0.5keywords = anaesthesia (Clic here for more details about this article) |
3/4. Sickle cell disease: a diagnostic dilemma.The case history is described of a patient with sickle cell anaemia who developed a unilateral infarct of the mandible following a sickle cell crisis. The interruption of the blood supply resulted in an anaesthesia of the inferior dental nerve and pulpal necrosis of otherwise sound premolar and molar teeth. The diagnostic and management difficulties of the case are discussed, and recommendations are made for treatment of such patients in light of the problems encountered.- - - - - - - - - - ranking = 0.5keywords = anaesthesia (Clic here for more details about this article) |
4/4. Mental nerve dysfunction: a symptom of diverse mandibular disease.Paraesthesia and anaesthesia of the mental nerve may result from a variety of pathological conditions, and in persistent cases of orofacial sensory disturbance thorough clinical assessment, including CT scanning, is vital to exclude underlying systemic or neoplastic disease. This paper presents three patients with right mental nerve dysfunction, and reviews the aetiology of mental nerve paraesthesia and anaesthesia.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |