Cases reported "Tooth Diseases"

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11/14. Endodontic therapy averting major surgery and avoiding keloid formation.

    Keloids and mandibular unfavorable fractures are reviewed. A case report of a patient with keloid diathesis, who had a mandibular unfavorable fracture, is presented. A grossly carious, abscessed first molar was in the line of fracture. This tooth was the only erupted tooth present in the proximal fragment. Endodontic therapy and restoration of normal contour enabled the surgeons to treat the fractured mandible by means of simple closed reduction. The endodontic treatment pre-empted a major surgical procedure under general anesthesia and also averted a skin incision which would have subsequently formed a disfiguring keloid.
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ranking = 1
keywords = mandible
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12/14. The relationship between dental disease and radiation necrosis of the mandible.

    Preirradiation panoramic radiographs of forty-six dentate patients were examined for the presence of significant dental disease. The occurrence of necrosis of the mandible after these patients received radiation therapy was then determined. Evidence of a positive association between dental disease present before radiation therapy and subsequent necrosis of the mandible was found (p = 0.09), leading to a recommendation that significant disease be eradicated before irradiation of oral tissues. Two cases are reported to illustrate the complications that can arise in dentate patients following radiation to the oral cavity. Considerable suffering results from bone necrosis, which can be reduced by careful and rational dental diagnosis and treatment.
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ranking = 6
keywords = mandible
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13/14. hypercementosis--an important clue to Paget disease of the maxilla.

    Paget disease of the maxilla and mandible is not rare. There appears to be a significant correlation between skull involvement in the form of osteoporosis circumscripta and maxillofacial changes. The maxillary component can be of the typical form of Paget disease or be in the form of hypercementosis. The latter change is not well recognized and we present two cases with such involvement.
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ranking = 1
keywords = mandible
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14/14. vertigo of dental origin: case reports.

    vertigo, a symptom whose aetiology and pathogenesis is often obscure, may abe caused by locally asymptomatic pathology (e.g. periapical granuloma, residual infection) in the mandible and maxillae. Three cases are presented where the confirmatory compression sign, previously described by Eidelman (1), was found to be positive. Removal of the suspected dental pathology resulted in rapid and permanent cure. These findings should be of interest in aviation medicine where vertigo is an important and sometimes extremely dangerous symptom.
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ranking = 1
keywords = mandible
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