1/9. Garre's osteomyelitis of an unusual origin in a 8-year-old child. A case report.Garre's osteomyelitis is a type of chronic osteomyelitis that primarily affects children and adolescents. Although the disease is well described in the dental literature and is usually associated with an odontogenic infection resulting from caries, a number of other causative factors have been occasionally reported, such as a dental extraction or a mild periodontitis. There have also been cases of unknown aetiology. This paper describes a case of Garre's osteomyelitis in an 8-year-old child, in whom the condition arose following a local periodontal infection in an ectopically erupting first permanent molar that was in infraocclusion. The lesion remained unresolved for a period of over 6 months as a result of misdiagnosis, following a number of unsuccessful treatment attempts. Identification of the true cause and treatment through periodontal surgery resulted in lesion resolution and resolved the diagnostic problem. dentists should be aware that the periodontium may be a potential source of infection for Garre's osteomyelitis in children, particularly in the presence of ectopically erupting posterior teeth. In such cases, periodontal treatment should be sufficient to treat the disease and extraction of the tooth involved may not be necessary.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/9. Surgical and clinical management of a patient with Glanzmann thrombasthenia: a case report.A 6-year-old girl with Glanzmann thrombasthenia presented with caries and periapical lesions in the primary mandibular second molars and moderate gingivitis of the maxillary and mandibular anterior teeth. Dental extraction was recommended, and before every surgical intervention, the patient underwent platelet-concentrate transfusion to prevent hemorrhage. Epsilon aminocaproic acid was administered 6 hours before, and 48 hours after every dental procedure to prevent bleeding. In this case, treatment was effective in the prevention of hemorrhagic complications, during the required dental procedures.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
3/9. Intentional replantation of a lower premolar.Intentional replantation is the purposeful extraction of a tooth to perform extraoral endodontic treatment, curettage of apical soft tissue when present and the replacement of the tooth in its socket. This paper demonstrates the use of intentional replantation as a technique to successfully treat a case where conventional endodontic retreatment and apical surgery were considered unfeasible.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
4/9. Localized vertical maxillary ridge preservation using bone cores and a rotated palatal flap.The aim of vertical augmentation of the alveolar ridge is to restore resorbed alveolar ridges. This technique is critical to the placement of dental implants in a favorable position and the enhancement of restoration esthetics. The present report describes a technique for surgical preservation of the anterior maxillary process using maxillary bone from the surgical site and raising a soft tissue rotated palatal flap. Maxillary lateral incisor extraction and periapical surgery of the central incisors were first carried out. Two bone cores were harvested from the neighboring buccal vestibular region and placed in the sockets of the lateral maxillary incisors. After 3 months, implants were placed; 12 weeks later, the prosthetic restorations were cemented. There were no complications after 2 years of follow-up. This technique constitutes a viable approach for preserving the anterior sector alveolar ridge with the posterior placement of dental implants.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
5/9. Cutaneous draining sinus tract of odontogenic origin: unusual presentation of a challenging diagnosis.A 44-year-old woman presented with a chronically draining lesion on her cheek just lateral to the nasofacial sulcus. The lesion was refractory to treatment with oral antibiotics. physical examination revealed poor dentition, and a panoramic radiograph demonstrated periapical abscesses in the maxillary right lateral incisor and canine. A diagnosis of cutaneous fistula of odontogenic origin was made, and the patient was treated with tooth extraction. The cutaneous fistula subsequently resolved. Intraoral examinations and radiographs are critical for making the diagnosis of cutaneous draining sinus tract of odontogenic origin. Many patients undergo unnecessary surgical therapies before having the correct diagnosis made, but root canal therapy or surgical extraction is the treatment of choice. A dental origin must be considered for any chronically draining sinus of the face or neck.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/9. Calculus-like deposit on the apical external root surface of teeth with post-treatment apical periodontitis: report of two cases.AIM: To report two cases in which calculus-like material was found on external root surfaces of (i) an extracted root and (ii) an apicected part of a root, both of which were removed due to post-treatment refractory apical periodontitis. SUMMARY: In each case, there was a fistulous tract, which did not heal after conventional root canal treatment. The first case did not heal even after apical surgery, and subsequent tooth extraction revealed calculus-like material on a root surface of complex anatomy. The second case showed radiographic signs of healing after apicectomy. histology of the apical biopsy revealed a calculus-like material on the external surface of the root apex. It is suggested that the presence of calculus on the root surfaces of teeth with periapical lesions may contribute towards the aetiology of failure. KEY learning POINTS: Biofilm on the external root surface has been implicated in the failure of apical periodontitis to heal, despite adequate root canal treatment. Calculus-like material was found, in two cases, on the root surface of teeth with post-treatment apical periodontitis, where the only communication externally was a sinus tract.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
7/9. Treatment of extraoral sinus tracts from traumatized teeth with apical periodontitis.When a draining lesion is encountered on the skin of the face, an endodontic origin should always be considered in differential diagnosis. Non-surgical endodontic therapy, sometimes complimented by surgery, or extraction are the choices for the treatment of these cases. Three cases of extraoral sinus tract on the chin caused by necrotic pulp of traumatized lower anterior teeth are presented. A paste consisting of calcium hydroxide and barium sulfate powder mixed with glycerin was used. Usage of calcium hydroxide paste was advocated for rapid and successful treatment of extraoral lesions communicating with necrotic teeth.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
8/9. dentigerous cyst with inflammatory etiology from a deciduous predecessor--report of a case.Dentigerous cysts arising from overlying infected predecessor teeth are very rare. This report describes one such case where extraction of the infected deciduous tooth with marsupialization led to the eruption of the premolar. Periodic radiographic evaluation is required to note and prevent recurrence and other serious complications arising from these cysts.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
9/9. The effect of periradicular endodontic pathosis on the apical region of adjacent implants.Implants have become standard for dentate individuals. A potential problem to consider is implant lesions from microbial contamination; these may occur if there is not careful diagnosis and treatment planning. A factor of concern during treatment planning is the pulpal and periradicular condition of teeth adjacent to the implant site. Periradicular pathosis may jeopardize the implant. Therefore, if endodontic pathosis is identified, root canal treatment or extraction should be initiated before implant placement to prevent microbial contamination of the implant during healing. In reviewing clinical cases, the authors found several that illustrated problems with adjacent teeth that contributed to inflammation surrounding the implant.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |