1/4. Treatment and maintenance of a dentate patient with 'radiation caries'.patients with xerostomia are presenting dental practitioners with challenges in caries control, long-term restoration and prosthodontic difficulties. In many cases, extraction may be the best option, but for younger, dentate patients, this may be inappropriate. This paper describes the management of a young partially dentate patient with severe xerostomia following irradiation of the salivary glands. Preventive and restorative management are discussed, together with treatment and healing of peri-radicular pathology.The case report demonstrates that long-term stabilization and management of caries and peri-radicular lesions are possible over a seven-year period for a patient with severe radiation caries. CLINICAL RELEVANCE: Many dental patients present with some degree of xerostomia due to age, side-effects of anti-hypertensive and psychotropic drugs and also as a side-effect of radiotherapy. General dental practitioners are ideally placed to monitor and provide early intervention for this highly caries-susceptible group of patients. With good patient motivation and professional support, tooth loss is not inevitable and this case report suggests strategies and demonstrates the clinical stages in the management of severe caries due to xerostomia.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/4. Orofacial problems associated with bilateral seventh cranial nerve palsy: report of case.Treatment of a patient with a bilateral facial nerve palsy consisted of extractions, construction of maxillary and mandibular complete dentures and, finally, the modification of the mandibular denture to assist in the support of the lower lip. Gratifying esthetic, physiologic, and psychological results were obtained.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/4. An apparent unusual relationship between rampant caries and the oral mucosal manifestations of chronic graft-versus-host disease.Oral complications of chronic graft-versus-host disease are well known and may be present in up to 80% of persons with the condition. A case involving a 29-year-old woman with chronic graft-versus-host disease after allogeneic bone marrow transplantation is presented to illustrate how oral mucosal lesions may be adversely affected by severe caries. A variety of extensive mucosal lesions were continually irritated by the sharp edges of the carious teeth. Full-mouth extractions facilitated the complete resolution of the oral lesions. The patient has had no recurrence of oral lesions 4 years after the extractions and has shown no adverse mucosal changes 3 1/2 years after rehabilitation with complete dentures.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
4/4. Oral problems associated with crest syndrome: a case report.A patient with crest syndrome is described, with such severe limitation of mouth opening that extractions were required before upper gastrointestinal endoscopy could be performed. Features of crest syndrome of importance to the dental and oral surgeon are described.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |