1/12. Primary intraosseous carcinoma associated with impacted third molar of the mandible: review of the literature and report of a new case.This study investigated the clincopathologic features of primary intraosseous carcinoma (PIOC) related to the third molar of the mandible. Six cases (5 from the literature and 1 new case; mean patient age 73 years) of PIOC associated with completely impacted lower third molar were analyzed. For comparison, 8 cases of PIOC presenting after extraction of the lower third molar were also evaluated, with a significantly lower mean patient age of 56 years. Most lesions were deceptively similar to those related to the lateral type of dentigerous cyst, and half of the impacted cases revealed an asymptomatic fracture of the mandible. In all patients except for the present case, metastasis had not been recorded. Surprisingly, no patients are known to have died of PIOC. In our experience the prognosis of PIOC associated with a completely impacted third molar is much better than commonly believed, although the number of cases involved is too small to make a general conclusion. However, delay in establishing the correct diagnosis followed by extraction without awareness of the carcinoma is know to adversely affect the prognosis.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/12. Self-inflicted orodental injury in a child with leigh disease.leigh disease is an inherited progressive mitochondrial neurodegenerative disease that affects the neurological, respiratory and cardiovascular systems and is associated with retardation of the intellectual and physical development. This report describes the case of a 4-year-old boy with leigh disease who presented with self-inflicted traumatic injury to the teeth, alveolar bone, lips and tongue during repeated episodes of intense orofacial spasms. Conservative management of the injury included repositioning the fractured alveolar bone, splinting the traumatized teeth and planning for a mouthguard. However, after a second incident of severe self-induced injury to the teeth and alveolar bone, extraction of the anterior teeth became inevitable to protect the child from further self-mutilation and to allow healing of the injured tissues.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
3/12. Mandibular fracture 2 weeks after third molar extraction.This case report describes mandibular fracture after the surgical extraction of fully erupted lower third molar of a 53-year-old healthy male patient. The fracture occurred 15 days after the extraction while chewing. The fracture line extended from the apex of the mesiobuccal root socket to the inferior border of the mandible. Follow-up of the patient was agreed as the patient was not willing to carry on further treatment. Bony union was observed radiologically 3 months later.- - - - - - - - - - ranking = 3keywords = extraction (Clic here for more details about this article) |
4/12. Langerhans cell disease associated with pathological fracture of the mandible.A 27-year-old male suffered a fractured mandible following extraction of a tooth. It was subsequently found that the fracture occurred in an area pathologically weakened by a localized lesion of Langerhans cell disease. Since lesions of the jaws may be seen either as the first manifestation or as a complication of widespread Langerhans cell disease, the dentist has a major role in the diagnosis and management of such cases.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
5/12. eikenella corrodens: a pathogen in head and neck infections.E. corrodens as a co-existent or primary causal agent in six cases of osteomyelitis or orofacial infections following trauma or elective dental extraction is presented. The importance of this facultative gram-negative bacillus as a head and neck pathogen is discussed.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
6/12. nickel allergy and osteomyelitis in a patient with metal osteosynthesis of a jaw fracture.A 27-year-old female, after a fracture of the mandible treated with osteosynthesis and after a difficult extraction, developed osteomyelitis with fistulation and sequestration. Sequestrectomy and extraction of the teeth in the osteomyelitic area did not clear the patient of symptoms. A patch test to nickel turned out to be positive. After removal of the stainless steel cerclage in the mandible, clinical and radiographic changes returned to normal within 2 and 8 weeks, respectively. It is concluded that, whenever acute treatment does not take priority, patch tests comprising nickel, cobalt and chromium should be performed in patients who are candidates for metal osteosynthesis.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
7/12. 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) |
8/12. Pathologic fracture of the mandible resulting from osteomyelitis: report of cases.Two cases of pathologic fracture of the mandible resulting from chronic osteomyelitis are described. The first case was treated successfully by antibiotic therapy followed by resection of the affected bone and iliac bone grafting after six months of follow-up care. In the second case, a patient with a history of diabetes mellitus, a fracture of the condyloid process occurred because of extension of the actinomyces infection after extraction of the third molar. Because antibiotics failed to prevent exacerbation of the disease, the patient was given human gamma globulin. Then, all the signs of inflammation disappeared gradually with no evidence of recurrence for more than a year. There was no spontaneous bony healing of the fractured site.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
9/12. A case of osteoporosis with bilateral defects in the mandibular processes.We carried out a detailed total body examination of a 62-year-old woman with osteoporosis who had bilateral defects in the mandibular processes. It was inferred that the defects in both articular heads were caused by resorption of small bone fragments following fracture. The quantity of bone salt was determined by microdensitometry, and a diagnosis of osteoporosis was then established. An improved bite was obtained by treatment consisting of tooth extraction and the preparation of partial dentures.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
10/12. Hyperbaric oxygen treatment of osteoradionecrosis of the mandible with repeated pathologic fracture. Report of a case.Treatment of patients with osteoradionecrosis of the mandible with a pathologic fracture consists in almost all cases of a continuity resection of the mandible. This leads to functional and esthetic problems that can only be solved by often extensive surgery. In this case report we present a 38-year-old woman who developed osteoradionecrosis of the mandible with a pathologic fracture 1 1/2 years after combined surgical and radiation therapy of an adenocarcinoma of the right parotid gland. The patient had a subcondylar pathologic fracture together with osteolysis in the right mandibular body, normally an indication for partial resection of the mandible. Because of the absence of denuded bone, fistulation, and the poor quality of the surrounding soft tissues, a more conservative approach was chosen. Treatment consisted of hyperbaric oxygen and dental extractions with alveolectomy with the patient under local anesthesia. During follow-up, a second pathologic fracture occurred in the region of the right first and second molar. No additional treatment was given. Six and one-half years after the initial treatment and 5 1/2 years after the last fracture, the patient is free of complaints, the fractures have healed and both esthetic and functional results are good.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
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