31/86. A previously unreported association between Nance-Horan syndrome and spontaneous dental abscesses.Atypical dentofacial structures may be the first indicator of other anomalies linked to a syndrome. This case describes the management of a 9-year-old girl referred for the routine management of supernumerary teeth. The anomalous form of her teeth, together with multiple supernumerary units and a history of congenital cataracts, were suggestive of a diagnosis of Nance-Horan syndrome. This is an X-linked disorder, in which females usually demonstrate mild expression; this case was unusual in respect to the marked phenotype expressed. Unusually, the girl developed 2 spontaneous abscesses of her noncarious upper incisor teeth; a feature never previously described in this syndrome. This report details the patient's dental management and discusses the possible pathogenesis of the dental abscesses, together with the genetic implications of this syndrome.- - - - - - - - - - ranking = 1keywords = dental (Clic here for more details about this article) |
32/86. mediastinitis from odontogenic infection. A case report.We report a case of mediastinitis complicating a dental infection in a 40-year-old male. Despite drainage of the localised neck abscess and the administration of systemic antibiotics, his submandibular abscess extended to involve the pericardial and pleural cavities. drainage procedures and thoracotomies were required to treat the empyema and purulent pericarditis. Computed tomography was used to follow the progression of disease and assess the efficacy of treatment.- - - - - - - - - - ranking = 0.16666666666667keywords = dental (Clic here for more details about this article) |
33/86. The effects of periradicular inflamation and infection on a primary tooth and permanent successor.Primary teeth and the permanent successors must be understood as interdependent units, where each one of them interacts with and depends on each other. Pulpal inflammation/infection of a primary tooth and the spread of this condition over the periradicular tissues can lead to alterations in the dental germ of the permanent successor and to the surrounding structures if no therapy is done, i.e. endodontics or extraction. This work will present cases of permanent teeth that showed alteration in eruption and / or in development, as a consequence of inflammation / infection of the preceding primary teeth, such as: hypoplasia, morphological alteration on the dental crown or total arrest of. radicular formation. The teeth analysed in this study belong to patients who attended the Universidade Federal de Santa Catarina Children's dentistry Clinic. The earlier these lesions are diagnosed, the less were the destructive effects and the consequences on the primary tooth/permanent germ unit.- - - - - - - - - - ranking = 0.33333333333333keywords = dental (Clic here for more details about this article) |
34/86. A case of cutaneous odontogenic sinus.Despite the fact that cutaneous sinus tracts of odontogenic origin are well documented, the condition is still commonly misdiagnosed, because chronic periapical periodontitis may be asymptomatic and is rarely open to the skin. A 75-year-old Japanese woman presented to our clinic with the chief complaint of a left cheek skin lesion with mild pain. physical examination revealed a subcutaneous nodule covered with erythematous skin on her left buccal region. Cultures from the subcutaneous nodule grew bacteroides species and peptostreptococcus micros but did not yield acid-fast bacilli, fungi, or actinomyces. Stains of smeared pus showed a considerable number of Gram-negative rods. The histopathological examination revealed a focal abscess formation in the lower dermis and subcutaneous tissue. Dental evaluation, including an orthopantogram, showed a radiolucent alveolar area at the left lower first molar apex, suggesting a periapical abscess. Antibiotic therapy for three weeks associated with surgical root canal therapy eliminated the subcutaneous nodule. A high degree of suspicion is required to correctly diagnose a lower facial lesion as being of odontogenic origin, and prompt dental evaluation should be considered.- - - - - - - - - - ranking = 0.16666666666667keywords = dental (Clic here for more details about this article) |
35/86. Intraoral examination in pyogenic facial lesions.Pyogenic cutaneous lesions of the cervicofacial region may be due to a variety of causes. One possibility that should be considered is an odontogenic infection secondary to untreated dental caries, periodontal disease or previous maxillofacial trauma. An intraoral examination is mandatory to evaluate the oral cavity for signs of pathology that may be manifested as a purulent cutaneous lesion. patients with odontogenic infection should be referred to a dentist for definitive treatment, which may consist of either endodontic therapy or extraction of the involved tooth and curettage of any abscesses or fistulous tracts.- - - - - - - - - - ranking = 0.16666666666667keywords = dental (Clic here for more details about this article) |
36/86. Dental abscess in a tooth with intact dens evaginatus.This article reports a case of dental abscess in a mandibular premolar with intact dens evaginatus. dentists are advised to critically evaluate those teeth with dens evaginatus, both clinically and radiographically, before attempting prophylactic treatments. This is particularly important medicolegally in case the tooth develops symptoms shortly after the prophylactic treatment. dentists practising in Western countries should also be aware of this dental anomaly because of the increasing global migration of people from asia.- - - - - - - - - - ranking = 0.33333333333333keywords = dental (Clic here for more details about this article) |
37/86. X-linked hypophosphatemia: dental and histologic findings.The recurrent spontaneous formation of abscesses affecting multiple noncarious primary as well as permanent teeth is the principle clinical dental feature in cases of hypophosphatemia, a condition inherited through the x chromosome. patients often have high pulp horns, large pulp chambers and dentinal clefts. We report a case of hypophosphatemic vitamin d-resistant rickets in a patient who reported to our department on multiple occasions with spontaneous abscesses in relation to his primary teeth. The aim of this article is to review the features of this disorder and to discuss the risks and benefits of the treatment options suggested in the literature.- - - - - - - - - - ranking = 0.83333333333333keywords = dental (Clic here for more details about this article) |
38/86. Rare complications of a dental abscess.This article describes a case involving a poorly treated odontogenic infection, which was complicated by mediastinitis, thoracic empyema, pericarditis, and ascites. A posterolateral thoracotomy was necessary as incisional surgical drainage proved to be inadequate. A multidisciplinary approach of descending necrotizing mediastinitis and its complications is essential.- - - - - - - - - - ranking = 0.66666666666667keywords = dental (Clic here for more details about this article) |
39/86. Anatomical redesign for the treatment of dens invaginatus type III with open apexes: a literature review and case presentation.BACKGROUND: Dens invaginatus is a rare dental anomaly that may give rise to many complex anatomical forms. The complexity of the internal anatomy may create challenges for the complete removal of the diseased pulpal tissue and the subsequent sealing of the canal system. CASE DESCRIPTION: The authors discuss the modification of the internal anatomy under the operating microscope, allowing the clinician better access to treat predictably the canal system with conventional or alternative techniques. CONCLUSION AND CLINICAL IMPLICATIONS: Considering the anatomical variations and the challenges that a dens invaginatus may present, a practitioner may consider a modification of the internal anatomy of the canal system to gain better access for proper instrumentation, disinfection and sealing of the root canal system using conventional or contemporary techniques.- - - - - - - - - - ranking = 0.16666666666667keywords = dental (Clic here for more details about this article) |
40/86. Bleaching non vital primary teeth: case report.Trauma and pulpal infections in primary dentition are part of the routine of the pediatric dentist. Common consequences in these cases are alterations in dental color, compromising patient's esthetics and his interaction in social environment. Bleaching intends to preserve dental structure already weakened and to show immediate esthetic results. This clinical case shows a bleaching technique in devitalized primary teeth using bleaching agent with 35% hydrogen peroxide activated by photo polymerizer. This technique is simple and shows immediate satisfactory results.- - - - - - - - - - ranking = 0.33333333333333keywords = dental (Clic here for more details about this article) |
| <- Previous || Next -> |