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Language Journal of Clinical and Experimental Dentistry. 2011. Vol. 3, no. 4-1
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- Necrotizing periodontitis in the context of Takayasu s disease: report of a case(2011) Silvestre Rangil, Javier; Silvestre Donat, Francisco Javier; Llambés Arenas, Fernando; Puente Sandoval, A.Necrotizing periodontitis is characterized by gingival necrosis with bleeding and pain, and alveolar bone attachment loss. The disease is associated to spirochete and Prevotella intermedia infection, as well as to a series of bacterial infections, with an altered local host immune response and tissue destruction. We present the case of a 40-year-old woman with inflammatory vasculitis of the aorta and its main branches, known as Takayasu’s disease. In the course of treatment of the latter, she developed necrotizing periodontitis. In this case local factors such as abundant bacterial plaque accumulation secondary to a lack of tooth brushing, and the administration of methotrexate, may have played a role. The clinical condition improved notoriously after emergency treatment with local antiseptics and tartar removal
- Combined surgical and prosthetic approach for rehabilitation of frontonasal defect using custom made titanium implant: a case report(2011) Prithviraj, D.R.; Anish, Gupta; Sumit, Khare; Pujari, Malesh; Garg, PoojaCranial vault deformities as a sequelae to trauma may be as high as 70%. The basic indications for cranioplasty are improvement of disfigured aesthetics and to provide protection to the intra-cranial contents. The possibility of producing custom-made implants opened a new era in the reconstructive surgery of the craniofacial deformities. The outcome of craniofacial bone reconstruction is thought to be dependent on surgical skills, quality of adjacent soft tissues, size and location of the bone defect and choice of repair method. The use of autologous bone for craniofacial reconstruction may be restricted due to limited amounts of donor bone. Combined surgical and prosthetic rehabilitation of these structures utilizing craniofacial implants is a viable option which offers several advantages when compared to surgical reconstructive techniques alone. Predictability and superior aesthetics are the major advantages of this technique. In addition to the advantages of good biocompatibility and mechanical strength, titanium also provides the advantage of being light in weight. This clinical report highlights the combined surgical and prosthetic approach for the successful management of frontonasal defect.
- Amlodepine induced gingival enlargement - presentation of a clinical case series(2011) Chaturvedi, Rashi; Jain, AshishObjectives: Gingival enlargement as an adverse effects of drugs has been found to be long associated with the use of anticonvulsants; phenytoin, anti-hypertensives; calcium channel blockers and immunosuppressants; cyclosporine. Nifedepine was found to cause gingival overgrowth with an incidence ranging from 15-85%. However, Amlodepine a relatively newer agent of the same group which is being routinely and vastly prescribed either alone or as part of combination therapy to middle to older aged adults has also been found to exhibit this adverse effect with very few cases reported till date. The effect of the dose of amlodepine on the severity of gingival enlargement needs to be assessed. Study design: A clinical presentation of a series of five cases in the age range of 45-65 yrs with gingival over-growth as a side effect of therapy with amlodepine is presented with prescription of variable doses of 2.5 mg, 5 mg and 10 mg per day. A brief review on the pathogenesis of this condition, commonly associated etiological mechanisms and sequence of periodontal therapy rendered have also been included. Conclusion: Irrespective of the dose of amlodepine administered, gingival enlargement continues to be a predominant side effect in all of the five cases presented. The accentuated gingival contours accumulate plaque leading further to the destruction of the underlying periodontium. Dental professionals need to identify and then guide the patient to seek necessary medical intervention
- Treacher Collins syndrome-a case report and review of literature(2011) Kasat, Vikrant O.; Baldawa, RahulTreacher Collins syndrome (TCS) or Franceschetti syndrome is an autosomal dominant disorder of craniofacial development with variable expressivity. It is named after E Treacher Collins who described the essential components of the condition in 1900. Incidence of this syndrome is approximately 1 in 50,000 live births and it affects both genders equally. It affects structures which are derivatives of the first and second brachial arches. The most common manifestations of TCS are the antimongloid slanting of the palpebral fissures, colobomas of the lower eyelid, hypoplasia of zygoma and mandible; and a variety of ear abnormalities. This article describes clinical and radiographic features of TCS in an 18 yr old female who had reported to the department of Oral Medicine and Radiology with the complaint of forwardly placed upper anterior teeth. Also pathogenesis, prenatal diagnosis, differential diagnosis, management and preventive aspects are discussed
- Green discoloration of the crown after internal root resorption treatment with grey mineral trioxide aggregate (MTA)(2011) Segura-Egea, Juan J.; Castellanos Cosano, Lizett; Martín González, Jenifer; Alonso Ezpeleta, Luis Oscar; López Frías, Francisco JavierRoot resorption (RR) is the loss of dental hard tissues as a result of clastic activities. Internal inflammatory root resorption (IRR) is a type of RR characterized by progressive loss of tooth substance starting from the root canal wall. IRR is usually asymptomatic, slowly progressing, and detectable upon routine radiographic examination or by the clinical sign of a ‘pink spot’ when the IRR involves the crown or the coronal third of the root canal. Mineral trioxide aggregate (MTA) is a biocompatible cement that has been used successfully in pulp capping, pulpotomy, treatment of traumatized teeth with immature apices, and for treatment of root resorption. The treatment and follow-up of a maxillary central incisor with perforating IRR managed by root canal treatment and grey MTA repair is reported. IRR affected tooth 11 (FDI World Dental Federation) in a 29-year-old female patient, with a history of previous trauma. Follow-up radiographs over 24 months demonstrated the maintenance of a functional tooth. However, the tooth showed a green discoloration of the crown after MTA treatment.
- Fingernails - foreign objects in root canal: a case report(2011) Pinky, C.; Ravi, K.S.; Krishna, A.; Vanka, A.Foreign objects in the pulp chamber or root canal are not unusual findings in patients undergoing root canal treatments in which canals have been left open for drainage. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, location of the foreign body and difficulty involved in its retrieval. This kind of situation is more likely to occur in children due to their habit of placing foreign objects in the mouth. The foreign objects may act as a potential source of infection and may later lead to a painful condition. Reported here is an unusual case of metallic pin along with multiple nail pieces retrieved from root canal of a patient with nail biting habit.
- Parotid lymphoepithelial cyst in non-HIV patient(2011) Alves, Carlos Augusto Ferreira; Junior, Ophir Ribeiro; Borba, Alexandre Meireles; Sousa, Suzana COM de; Naclerio-Homem, Maria da Graça
- Adenomatoid odontogenic tumor with impacted mandibular canine: a case report(2011) Mishra, Sunil S.; Degwekar, Shirish S.; Motwani, Mukta B.; Anand, Ruchi M.The Adenomatoid Odontogenic Tumor (AOT) is a rare, slow growing, benign, odontogenic epithelial tumor with characteristic clinical and histological features; which usually arise in the second or third decade. It is a tumor composed of odontogenic epithelium in a variety of histoarchitectural patterns which are embedded in a mature connective tissue stroma. It is mostly encountered in young patients with a greater predilection for females. Maxilla is the predilection site of occurrence, most commonly associated with an unerupted maxillary canine. It presents as a symptom-free lesion and is frequently discovered during routine radiographic examination. This case report describes an unusual case of 20 year old male with only a one month history of tumor in the anterior mandible. The tumor was a well circumscribed intraosseous lesion with an embedded tooth. Histological evidence of calcification was present. The present case lends support to the categorization of AOT as a mixed odontogenic tumor
- Maxillofacial reconstruction in a pediatric patient with Osteosarcoma(2011) Lopez Fernandez, R.; Tellez Rodriguez, J.; Shalkow Klincovstein, J.; Bologna-Molina, Ronell; González González, RogelioOsteosarcoma is a bone tumor that consists of malignant cells that produce immature bone. Is a bone tumor that develops during periods of rapid growth in adolescents and young adults. It is the most common type of bone cancer in children and adolescents. The diagnosis and treatment of patients with osteosarcoma requires a multidisciplinary team approach. Resection of maxillary tumours remains a surgical challenge due to the possible aesthetic and functional secuelae. We present herein the case of a 15 year-old female with an osteoblastic osteosarcoma of the left maxilla. It was treated with eight cycles of neoadjuvant chemotherapy, followed by a total left maxillectomy. Resection was performed through a modified Ferguson-Weber approach, using a titanium mesh to reconstruct the orbital base and the maxillary process. A palatal obturator was placed at the same time. The use of a three-dimensional model by stereolithography is extremely helpful in planning and performing the maxillectomy, as well as the facial reconstruction
- Prognosis of a case with paresthesia associated with prolonged touching of an endodontic paste to the inferior alveolar nerve(2011) Buyukkurt, M. Cemil; Arslan, Hakan; Topcuoglu, H. Sinan; Omezli, M. MelihParesthesia is described as an abnormal sensation, such as burning, pricking, tickling, tingling, formication or numbness. Several conditions can cause paresthesia. This article presents a case of paresthesia caused by the extrusion of endodontic paste (Endomethasone®) into the mandibular canal. The clinical manifestations comprised the numbness on the right side of the mandible and right lower lip, appearing after endodontic treatment. After a mandibular block and infiltration anesthesia a mucoperiostal flap was raised and the extruded Endomethasone® was removed successfully. A therapy with antibiotic, B vitamin complex and an analgesic were prescribed. The patient reported an improvement in pain and headache after one week later and in burning after two weeks. After a four months follow-up, she became symptom free. Also sixteen months later she had any symptoms. Normalization of sensation shows that the neurotoxic effects of Endomethasone® are reversible after more than one month from the first touch of Endomethasone® to the inferior alveolar nerve
- Prosthetic rehabilitation with dental implants after treatment of a keratocystic odontogenic tumor: case report(2011) Brkic, Amila; Koçak-Berberoglu, Hülya; Eyupoglu, Esra; Olgaç, VakurKeratocystic odontogenic tumor (KCOT), formerly known as the odontogenic keratocyst (OKC) is a benign intraosseous lesion, characterized by invasive growth and high rate of recurrences. Although it is not frequently seen, KCOT may be associated with unerupted teeth and without relevant histopathological examinations, might be mistaken with dentigerous cyst. A 26 year-old male patient referred to our department with complaints of two months persisting painless swelling on the left side of mandible. Clinical and radiographic examinations revealed an impaction of the horizontally positioned left lower second premolar surrounded by a well-circumscribed radiolucent mass, located between the left canine and the second molar, suspected to be a cyst. The aim of this report is to present a therapeutical approach to keratocystic odontogenic tumor associated with impacted tooth and prosthetic rehabilitation with dental implants after an initial treatment. The patient is under follow up for 31 months since implant placement was done, without any complaints or complications
- Prosthetic rehabilitation of an edentulous cleft palate using a denture with a palatal obturator: a clinical report(2011) Montero Martín, Javier; Macedo de Paula, Carla; Rodríguez Pérez, Manuel; López-Valverde Centeno, Antonio; Gómez de Diego, Rafael; Albaladejo Martínez, Alberto; Castillo Salmerón, R. del; Maroto García, J.A cleft palate is a genetic disorder that occurs when an oro-nasal communication is present between the palate and the base of the nose. During pregnancy, the maxillary is not completely merged, and the defect is only seen at birth. Possible causes are hormonal imbalances, nutritional deficiencies, infections, radiation during pregnancy, alcohol or cigarette consumption, the ingestion of other teratogenic substances by the mother, and heredity. The resulting defect requires corrective surgery. In the case of a cleft palate, surgery is postponed until after the first year of life to avoid disturbing the normal development of speech and the risk of aspiration of food, which causes infections such as otitis and pneumonia. Ear infections can harm the development of speech in cases where surgery is not possible or the defect has reappeared. This article describes the prosthetic rehabilitation of a edentulous patient: a woman of 53 years old with a cleft palate who was treated surgically. In a clinical examination, a residual palatal defect was identified. The prosthetic rehabilitation involved the emplacement of a complete adapted prosthesis, using a palatal obturator, with a view to sealing the defect and allowing the patient to acquire better speech quality, and improve her nutrition and well-being.
- Hypohidrotic Ectodermal Dysplasia with total anodontia: a case report(2011) Shashibhushan, K.K.; Viswanathan, Revathy; Sathyajith Naik, N.; Subba Reddy, V.V.Ectodermal dysplasia is a hereditary disorder that occurs as a consequence of disturbances in the ectoderm of the developing embryo. The triad of nail dystrophy, alopecia or hypotrichosis and palmoplantar hyperkeratosis is usually accompanied by a lack of sweat glands and a partial or complete absence of primary and/ or permanent dentition. A case report illustrating the prosthetic rehabilitation of a seven year old boy with hypohidrotic ectodermal dysplasia associated with total anodontia is presented.
- Hypervascular neurofibromas in a case of neurofibromatosis type 1: a case report(2011) Kashyap, Roopashri Rajesh; Gogineni, Subhas BabuNeurofibromatosis type 1 is one of the most frequently inherited diseases affecting 1:3500 newborn. The diagnosis of Neurofibromatosis type 1 is not dilemmatic because of typical clinical features. The key feature of Neurofibromatosis type 1, neurofibromas, are complex tumours arising from peripheral nerve sheaths. Neurofibromas may be focal growths or can extend along the length of a nerve, involving several fascicles and including nerve branches. Neurofibromas sometimes exhibit hypervascular characteristics. Few reports suggest the bleeding tendency observed in neurofibroma, although not common, occasionally causes a large amount of bleeding during surgical intervention. Hypervascular characteristics of these tumors may be a confusing factor for the diagnostician. This report describes the case of Neurofibromatosis type 1 presented with neurofibroma exhibiting hypervascular characteristics and emphasizes the importance of necessary investigations prior to sur gical procedures
