1/16. Metastatic melanoma of the maxilla presenting as a gingival swelling.Malignant melanoma metastatic to the gingiva has been reported only once. We present a case in which the occurrence of melanoma in the gingiva followed extraction of a periapically "abscessed" tooth. Since the initial periapical mass may well have been a metastatic tumor, particularly in a patient undergoing therapy for disseminated malignant disease, the need for biopsy of such lesions is emphasized.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/16. Pott's puffy tumor and epidural abscess arising from dental sepsis: a case report.OBJECTIVE: To present an unusual case of two uncommon cranial complications of frontal sinusitis: Pott's puffy tumor and epidural abscess arising from frontal sinusitis of dental origin, and also two systemic complications of sinusitis: septicemia and empyema, all occurring in an immunocompetent patient. STUDY DESIGN: A 21-year-old man presented with a scalp swelling and epidural abscess. magnetic resonance imaging and computed tomographic scans revealed unilateral opacification of the frontal sinus and an epidural abscess with a direct connection to the scalp abscess. Further history revealed that his symptoms occurred coincidentally with a tooth extraction 2 months before, and he was hospitalized soon after the tooth extraction for sepsis and a lung abscess. methods: A combined neurosurgical and otolaryngologic approach was required to treat the sinusitis and the associated epidural and scalp abscess. RESULTS: Cultures returned as streptococcus intermedius from all three sites. The patient was free of disease at the 3-month follow-up. CONCLUSIONS: Odontogenic maxillary sinusitis is well documented; however, there is little reported of frontal sinusitis arising from dental disease. The prevalence of sinusitis of dental origin will be reviewed, including the microbiology of this particularly virulent organism that persisted despite earlier treatment with ampicillin. Also, the current thoughts on management of these cases will be discussed with particular reference to local therapy for sinusitis in addition to systemic treatment with antibiotics.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
3/16. Endodontic and periodontal treatments of a geminated mandibular first premolar.AIM: To describe a rare case of gemination involving a mandibular first premolar. SUMMARY: The complex morphology of geminated teeth renders their endodontic and periodontal management difficult. Root canal and periodontal treatments were performed on a geminated mandibular first premolar with three canals. Clinical examination showed two separated crowns with united roots. Radiographically, two distinct pulp chambers with two joined and a third independent canal were seen. Conventional root canal treatment resulted in complete healing of the apical lesion. However, the occurrence of a vertical fracture led to the extraction of the mesial segment. At the follow-up visit, the distal segment was clinically healthy and continued to satisfy functional demands.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/16. Facial sinus of dental origin: a case report.Sinus tracts of dental origin opening on the skin can be a diagnostic challenge. A delay in correctly diagnosing these lesions can result in ineffective and inappropriate treatment; however, if recognized early, the sinus tract usually resolves after appropriate endodontic therapy or extraction. We report a case of a cutaneous sinus tract secondary to a periapical abscess of the mandibular first molar tooth. The case was successfully treated by extraction and the sinus tract healed.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
5/16. Dentocutaneous fistula.Chronic dental infection is the most common cause of draining sinus tracts of the face and neck. These lesions can be a diagnostic challenge to the clinician who is not familiar with dentocutaneous fistula. diagnostic errors can result in multiple excisions, biopsies, and ineffective long-term antibiotic therapy. patients may require excision of the fistula once the dental abscess has been successfully treated by root-canal therapy or extraction. Nine patients are reported.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/16. ludwig's angina following dental treatment of a five-year-old male patient: report of a case.A five-year-old male child presented to the dental clinic with dental disease. This patient was otherwise healthy, with evidence of odontogenic infection (pulpal abscess) on tooth "T". Extraction of the tooth followed. Five days postoperative, the child was diagnosed as suffering from ludwig's angina. This case of ludwig's angina was found to be odontogenic in origin, but not originating from extraction of the offending tooth. ludwig's angina is an aggressive infectious process of the submandibular, sublingual, and submental fascial spaces. It remains a potentially fatal cellulitis with a mortality rate of approximately 8%, in spite of appropriate antibiotic therapy. Early recognition and treatment of ludwig's angina is extremely important due to its invasive nature.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
7/16. 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 = 1keywords = extraction (Clic here for more details about this article) |
8/16. 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 = 1keywords = extraction (Clic here for more details about this article) |
9/16. Idiopathic myelofibrosis: dental treatment considerations.Idiopathic myelofibrosis is a myeloproliferative disorder of unknown origin. The bone marrow becomes fibrotic with an associated decrease in hematopoiesis resulting in anemia, bleeding problems, splenomegaly, and other secondary abnormalities. Although idiopathic myelofibrosis is usually diagnosed in middle age, there have been a few reports of the disorder in the pediatric population. This case report documents dental treatment considerations in a 6-year-old female with idiopathic myelofibrosis, severe anemia, and abnormal blood coagulation studies. The patient was successfully treated in a hospital after medical consultation, transfusion of packed red blood cells, and administration of prophylactic antibiotics. Local hemostatic measures following multiple extractions of carious teeth controlled bleeding. No postoperative sequelae occurred.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
10/16. Fatal acute bacterial myocarditis after dentoalveolar abscess.A 19 year old woman presented with chest pain after a dental extraction for a dentoalveolar abscess. Electrocardiographic and serum isoenzyme changes were consistent with acute anterior myocardial infarction. At autopsy bacteria were demonstrated, within the myocardium in the absence of a myocardial abscess or endocarditis. This case illustrates the occurrence of isolated acute bacterial myocarditis after a dental extraction.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
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