Nasopalatine Cyst or Apical Pathology? A Diagnostic Dilemma and How to Manage It

Dental Update ◽  
2020 ◽  
Vol 47 (2) ◽  
pp. 165-169
Author(s):  
Marialena Cresta ◽  
Robert Philpott ◽  
Eleni Besi
Keyword(s):  
Clinical Examination ◽  
Clinical Relevance ◽  
Definitive Diagnosis ◽  
Histopathological Analysis ◽  
Apical Region ◽  
Diagnostic Dilemma ◽  
Anterior Teeth ◽  
Appropriate Treatment ◽  
Odontogenic Origin ◽  
Careful Assessment

Nasopalatine cysts (NPCs) present as maxillary midline radiolucencies and are the most common radiolucency of non-odontogenic origin. The proximity of these radiolucencies to the apical region of the maxillary anterior teeth may complicate diagnosis. We are presenting two cases of maxillary midline radiolucencies with a similar presentation but different diagnoses. Reaching a definitive diagnosis may be complicated, even when a detailed clinical examination has been carried out. The use of CBCT has been a valuable addition to the diagnostic armamentarium which can help clinicians reach more accurate diagnoses in such cases. A definitive diagnosis may be established following histopathological analysis, which is indicated in symptomatic cases. CPD/Clinical Relevance: This article highlights the importance of careful assessment of apical radiolucencies associated with the maxillary midline, leading to the correct diagnoses and appropriate treatment planning.

Plexiform Unicystic Ameloblastoma - A Diagnostic Dilemma

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Rai DV ◽  
◽  
Guttal KS ◽  
Burde KN ◽  
Hallikeri K ◽  
...  
Keyword(s):  
Definitive Diagnosis ◽  
Odontogenic Cysts ◽  
Diagnostic Dilemma ◽  
Dental Tissues ◽  
Lower Jaw ◽  
Unicystic Ameloblastoma ◽  
Odontogenic Origin ◽  
Phases Of Development ◽  
Slow Growing ◽  
Posterior Area

The 2nd most common tumor of odontogenic origin is Ameloblastoma which develops from epithelial cellular elements and dental tissues in various phases of development. It is a slow-growing, persistent and locally aggressive neoplasm of epithelial origin, affecting the posterior area of lower jaw in 80% of cases. Unicystic Ameloblastoma (UA) is one of the less encountered variants of Ameloblastoma. Radiographically it mimics many of the odontogenic cysts and tumors and hence becomes difficult to arrive at a definitive diagnosis. We report here a case of plexiform unicystic variant of ameloblastoma in a 26 years old male patient.

scholarly journals Complete dentures – assessment of the loose denture

Dental Update ◽  
2019 ◽  
Vol 46 (8) ◽  
pp. 760-767
Author(s):  
Arek Dziedzic ◽  
James Puryer
Keyword(s):  
Clinical Examination ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Treatment Options ◽  
Complete Dentures ◽  
Potential Treatment ◽  
Edentulous Patient ◽  
Appropriate Treatment ◽  
Examination Process ◽  
Careful History

Patients with complete dentures will often present to a clinician complaining that their dentures are loose. A careful history, clinical examination and denture examination is needed so that the cause of their loose dentures can be determined. Only once a suitable diagnosis has been reached can an appropriate treatment plan be developed. This paper aims to guide readers through this history and examination process to help them formulate a suitable diagnosis before embarking on any potential treatment options. CPD/Clinical Relevance: The paper provides a guide as to how to assess an edentulous patient presenting with loose complete dentures.

scholarly journals Calcium hydroxide induces mineralized tissue neoformation: a case report

2018 ◽  
Vol 5 (6) ◽  
pp. 121
Author(s):  
Luanna Nunes ◽  
Beatriz Serrato Coelho ◽  
Josiane De Almeida ◽  
Keila Cristina Rausch Pereira ◽  
Simone Xavier Silva Costa ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Radiographic Examination ◽  
Apical Region ◽  
Common Occurrence ◽  
Mineralized Tissue ◽  
Dental Clinic ◽  
Main Complaint ◽  
Anterior Teeth ◽  
Open Apices ◽  
Southern University

Trauma in the anterior teeth is a relatively common occurrence during childhood, having as main consequence teeth with incomplete root development and open apices. Patient, male, leucoderma, 10 years old, attended the Dental Clinic of the Southern University of the State of Santa Catarina, reporting as main complaint fracture in the crown of element 11. After clinical and radiographic examination, it was possible to identify the incomplete apexogenesis of this tooth and the presence of necrotic pulp. Aiming to stimulate neoformation of mineralized tissue at the dental apex, the calcium hydroxide based dressing was used. He remained for eight months, always with radiographic control. Apexification was observed radiographically and proved through the use of an instrument introduced inside the canal. The use of calcium hydroxide as intracanal medication for eight months stimulated mineralized tissue neoformation in the apical region of element 11 and allowed endodontic treatment.

scholarly journals Endoscopic Findings and Their Clinical Relevance in 208 Diagnostic Esophagogastroduodenoscopies Made at Guadalajara’s Regional Military Specialty Hospital From September 2018 to March 2020

2020 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Viera Dórame Raúl Fernando ◽  
◽  
Aguirre Sandoval Gloria Estefania ◽  
◽  
Keyword(s):  
Gastric Cancer ◽  
Helicobacter Pylori ◽  
Clinical Relevance ◽  
Digestive Endoscopy ◽  
Basic Information ◽  
Esophageal Reflux ◽  
Endoscopic Findings ◽  
Appropriate Treatment ◽  
Specialty Hospital ◽  
Macroscopic Findings

This technical review provides practical and basic information on the clinical relevance of proximal diagnostic digestive endoscopy in relation to pre- and post-endoscopic diagnoses, anatomopathological diagnosis of biopsies, choice of appropriate treatment and improvement of patients studied. It also highlights the importance of the prevention of esophageal-gastric cancer by previous macroscopic findings and its timely diagnosis, based on 208 reports of Esophagogastroduodenoscopies recorded in the general file database of the Guadalajara Regional Military Specialty Hospital between September 2018 and March 2020. Of the 208 selected reports, the most common pre-endoscopic diagnoses were dyspepsia, gastro-esophageal reflux disease, high digestive tract hemorrhage and dysphagia, which were mostly associated with endoscopic diagnosis of chronic gastropathy being the crucial anatomopathological diagnosis by demonstrating that the bacterium Helicobacter Pylori is primarily responsible for this gastropathy and in initiating

scholarly journals Importance of Laparoscopy to Solve the Diagnostic Dilemma of Abdominal Tuberculosis

KYAMC Journal ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 14-17
Author(s):  
Md Saiful Islam ◽  
Md Masudar Rahman ◽  
M Fardil Hossain Faisal ◽  
Md Alamgir Jalil Pramanik ◽  
Muhammad Abdur Rouf
Keyword(s):  
Minimally Invasive ◽  
Diagnostic Laparoscopy ◽  
Abdominal Cavity ◽  
Correct Diagnosis ◽  
Abdominal Tuberculosis ◽  
Diagnostic Dilemma ◽  
Peritoneal Tissue ◽  
Appropriate Treatment ◽  
Liver Surface ◽  
Minimally Invasive Access

Background: Diagnosis of abdominal tuberculosis as well as histopathological confirmation is difficult because of suboptimal access to the intraperitoneal pathology. Laparoscopy provides minimally invasive access to the peritoneal cavity and materials can be collected for confirmation of diagnosis. Objectives: To study the importance of laparoscopy as a tool for the diagnosis of abdominal tuberculosis and initiation of appropriate treatment without delay. Materials & Methods: In this study 25 patients with suspected abdominal tuberculosis were selected within the period of May, 2014 to October, 2014. Diagnostic laparoscopy performed on all patients with biopsy of tissue from accessible sites. Results: Diagnostic laparoscopy with biopsy confirmed the diagnosis in 24 (96%) patients, 23 of these patients (96%) had nodules at different site of abdominal cavity and 19 of these patients (76%) had ascites. In two cases there were nodules over liver surface; biopsy was taken also from both liver nodules. One nodule revealed fibrosis and another nodule revealed tuberculosis. Conclusion: Imaging and culture of ascitic fluid may fail to confirm or exclude abdominal tuberculosis in clinically suspected cases. Laparoscopy with peritoneal tissue biopsy provided rapid and correct diagnosis of abdominal tuberculosis and should be performed early in suspected cases. KYAMC Journal.2021;12(01): 14-17

Dental Management of a Patient with a Left Temporal Brain Abscess: A Case Report

Dental Update ◽  
2021 ◽  
Vol 48 (1) ◽  
pp. 54-57
Author(s):  
Aliya Hasan ◽  
Martin Tisdall ◽  
Kathryn Harley
Keyword(s):  
Case Report ◽  
Paediatric Patient ◽  
Clinical Relevance ◽  
Causative Factor ◽  
Odontogenic Infection ◽  
Oral Disease ◽  
Dental Management ◽  
Odontogenic Origin ◽  
Cerebral Infection ◽  
Abdominal Infections

Cerebral abscesses of odontogenic origin are uncommon. Cerebral abscesses are often caused by cardiac and pulmonary disease or infections such as skin or abdominal infections. However, there have been some reported incidences of cerebral abscesses caused by odontogenic infection. This paper aims to discuss a case report whereby an odontogenic infection was the most probable cause of a cerebral abscess in a paediatric patient. CPD/Clinical Relevance: To discuss the importance of oral disease as a potential causative factor for cerebral infection.

scholarly journals Clinical Relevance of Serum Galactose Deficient IgA1 in Patients with IgA Nephropathy

2020 ◽  
Vol 9 (11) ◽  
pp. 3549
Author(s):  
Jin Sug Kim ◽  
Hyeon Seok Hwang ◽  
Sang Ho Lee ◽  
Yang Gyun Kim ◽  
Ju-Young Moon ◽  
...  
Keyword(s):  
Iga Nephropathy ◽  
Clinical Relevance ◽  
Interstitial Fibrosis ◽  
Healthy Controls ◽  
Ckd Progression ◽  
Serum Samples ◽  
Tubular Atrophy ◽  
Appropriate Treatment ◽  
Cox Proportional Hazard Models ◽  
New Biomarkers

New biomarkers of IgA nephropathy (IgAN) are needed for non-invasive diagnosis and appropriate treatment. There is emerging evidence that galactose deficient IgA1 (Gd-IgA1) is a pivotal molecule in the pathogenesis of IgAN. However, few studies have investigated the role of Gd-IgA1 as a biomarker in IgAN. In this study, we investigated the clinical relevance of serum Gd-IgA1 levels in patients with IgAN. Two hundred and thirty biopsy-proven IgAN patients, 74 disease controls (patients with non-IgAN nephropathy), and 15 healthy controls were enrolled in this study. Levels of serum Gd-IgA1 were measured using an ELISA kit in serum samples obtained the day of renal biopsy. We compared levels of serum Gd-IgA1 according to the type of glomerular disease and analyzed the association between Gd-IgA1 levels and clinical and pathological parameters in patients with IgAN. We then divided IgAN patients into two groups according to Gd-IgA1 level and investigated the predictive value of Gd-IgA1 for progression of chronic kidney disease (CKD). Serum Gd-IgA1 levels were significantly higher in IgAN patients than disease controls and healthy controls. In patients with IgAN, serum Gd-IA1 levels were significantly correlated with estimated glomerular filtration rate, serum IgA level, and tubular atrophy/interstitial fibrosis. CKD progression was more frequent in IgAN patients with higher serum Gd-IgA1 levels than in those with lower serum Gd-IgA1 levels. Cox proportional hazard models showed that high GdIgA1 level was an independent risk factor for CKD progression after adjusting for several confounders. Our results suggest that serum Gd-IgA1 level is a useful diagnostic and prognostic marker in IgAN patients. Further studies with a larger sample size and longer follow-up duration are needed.

Unusual coexistence of sinonasal myeloid sarcoma and acute fulminant invasive fungal sinusitis: a diagnostic dilemma

2013 ◽  
Vol 127 (4) ◽  
pp. 415-418 ◽  
Author(s):  
C-L Kuo ◽  
Y-B Yu ◽  
W-Y Li ◽  
Y-L Lee
Keyword(s):  
Acute Myeloid Leukaemia ◽  
Myeloid Leukaemia ◽  
Myeloid Sarcoma ◽  
Surgical Debridement ◽  
Comorbid Condition ◽  
Histopathological Analysis ◽  
Fungal Sinusitis ◽  
Diagnostic Dilemma ◽  
Invasive Fungal Sinusitis ◽  
Acute Myeloid

AbstractObjective:We report a rare case of concurrent myeloid sarcoma and acute fulminant invasive fungal sinusitis in a patient with relapsed acute myeloid leukaemia.Case report:A 73-year-old man was diagnosed with acute myeloid leukaemia and developed relapse one year later. After two courses of azacytidine, he began suffering from a dull pain in the left temporal and orbital regions. Sinus computed tomography showed a localised lesion in the left ethmoid sinus, which rapidly progressed to an extensive intracranial mass within one month. Surgical debridement was performed, and histopathological analysis revealed the coexistence of myeloid sarcoma and acute fulminant invasive fungal sinusitis. The patient responded well to prompt surgical debridement, antifungal medication and radiotherapy.Conclusion:Coexistence of sinonasal myeloid sarcoma and acute fulminant invasive fungal sinusitis poses an urgent diagnostic and management challenge to clinicians. Timely recognition of this rare comorbid condition is warranted as application of appropriate treatment can save lives.

scholarly journals Photoelastic analysis of stress generated by Connecticut Intrusion Arch (CIA)

2017 ◽  
Vol 22 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Alessandro Schwertner ◽  
Renato Rodrigues de Almeida ◽  
Alcides Gonini Jr ◽  
Marcio Rodrigues de Almeida
Keyword(s):  
Descriptive Analysis ◽  
Reference Value ◽  
In Vitro Study ◽  
Distal Region ◽  
Dental Arch ◽  
Apical Region ◽  
Anterior Teeth ◽  
Distal Surface ◽  
Group 2

ABSTRACT Objective: The present in vitro study evaluated, by means of the photoelastic technique, the effects generated by the Connecticut Intrusion Arch (CIA), with a 90o bend on the distal surface of molar tubes and using the 4 x 2 appliance on the anterior and posterior regions of the upper dental arch. Methods: Five models were manufactured, in which two different clinical situations were correlated: 1) use of intrusion arch not cinched back and transpalatal bar for anchorage (Group 1); 2) use of intrusion arch cinched back and transpalatal bar for anchorage (Group 2). Stress generated in the apical and middle regions of tooth roots of maxillary anterior teeth and maxillary first molars was evaluated. Results: Taking a reference value of 1.0 MPa = 100%, qualitative descriptive analysis was performed, which showed uniformity between stress values in the apical region of anterior teeth of both groups (G1 and G2). In the posterior region, for models with the arch cinched back (G2), stress remained within 100%. As for G1 models (with the arch not cinched back), variations in the mesial surface of first molars were observed, with an increase of 20% in the generated stress. The apical region did not undergo any changes, while in the distal region of molars there was a decrease of 20% in stress. Conclusion: Laboratory results revealed differences in stress between Groups 1 and 2 in the molar region, thereby indicating that there was a tendency towards mesial root tipping of first molars when the distal end of the CIA was not cinched back.

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