scholarly journals Non-Surgical Management of Iatrogenic Extrusion of Calcium Hydroxide Based Intracanal Medicament in Clinical Endodontics – A Case Report

2021 ◽  
Vol 10 (33) ◽  
pp. 2863-2866
Author(s):  
Akshay Khandelwal
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Case Reports ◽  
Barium Sulphate ◽  
The Past ◽  
Nonsurgical Management ◽  
System 2 ◽  
Periapical Healing ◽  
Periapical Diseases

Calcium hydroxide is used as an intracanal medicament in endodontics as it reduces intracanal microbial load and exudate discharge from infected teeth. Reports have shown that extrusion of calcium hydroxide periapically leads to an increased incidence of swelling, delayed periapical healing, nerve paraesthesia and other complications. Teeth with immature apex or those undergoing apical resorption are prone to higher chances of periapical medicament extrusion, especially under high pressure delivery systems. This case report discusses nonsurgical management of periapically extruded non-setting calcium hydroxide by an innovative technique which is less invasive and comfortable both for the clinician and the patient. Calcium hydroxide is widely used as an intracanal medicament for the treatment of pulpal and periapical diseases.1 The intracanal placement of calcium hydroxide can be done with a lentulospiral or a syringe-based delivery system.2 If extruded periapically, there is an increased incidence of swelling, delayed periapical healing, nerve paraesthesia and other complications.3 Case reports in the past have suggested surgical management of periapically extruded calcium hydroxide. The purpose of this case report is to discuss an orthograde nonsurgical management of periapically extruded calcium hydroxide based intracanal medicament containing barium sulphate during endodontic treatment.

scholarly journals Non surgical management of large periapical lesion using mta: report of 2 cases

2015 ◽  
Vol 2 (6) ◽  
pp. 505
Author(s):  
MC Noushad ◽  
Mohammed Niyaz ◽  
Faizal C Peedikayil ◽  
CV Pradeep ◽  
Anish Sebastian ◽  
...  
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Surgical Management ◽  
Periapical Lesion ◽  
Histologic Response ◽  
Long Period ◽  
The Past ◽  
Gutta Percha ◽  
Periapical Healing ◽  
Open Apices

In the past, cases with open apices were often treated over several appointments, using calcium hydroxide, with the hope of creating a ‘‘calcific’’ barrier against which gutta percha could eventually be placed. The treatment could be as long and the prognosis is questionable. These roots were often thinner and, therefore, more brittle; extending treatment over a long period of time without providing a permanent restoration increased the chances of losing these teeth due to fracture. With the favorable histologic response of MTA, this material is the best current choice for this procedure. Completion of these cases in an effective and efficient way allows for permanent restorations to be done in a timelier manner, prolonging the longevity of these teeth. The following case report demonstrates the use of MTA as an obturating material to promote periapical healing with an open apex.

scholarly journals Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up

2019 ◽  
Vol 7 (1) ◽  
pp. 1 ◽  
Author(s):  
Jessy Ajram ◽  
Issam Khalil ◽  
Richard Gergi ◽  
Carla Zogheib
Keyword(s):  
Case Report ◽  
Root Growth ◽  
Calcium Hydroxide ◽  
Case Reports ◽  
Blood Clot ◽  
Complete Healing ◽  
Current Case ◽  
Root Fracture ◽  
Permanent Molar

Traditionally, immature teeth diagnosed with necrotic pulp and periapical periodontitis were treated by apexification with long-term calcium hydroxide or in one session with mineral trioxide aggregate (MTA) or Biodentine apical plug. However, these teeth become fragile and susceptible to root fracture. Regenerative endodontic procedure is a new therapeutic approach that promotes continuation of root growth in immature necrotic teeth potentially preventing root fracture. Only few case reports have shown the success of this procedure on molar cases. The current case report demonstrates a regeneration of a lower first molar with necrotic pulp and chronic apical abscess treated with Micro Mega-MTA (MM-MTA), a new endodontic biomaterial that has not been described previously. Calcium hydroxide was used as an intracanal medicament for two weeks. Next, calcium hydroxide was removed and after blood clot creation, MM-MTA® was placed over it. Apical healing and continuation of root growth were evident at nine months follow-up. CBCT at two years follow-up confirmed apical closure and complete healing. This case shows that a regenerative endodontic procedure for management of an immature necrotic permanent molar is feasible and can be successfully done using Ca(OH)2 and MM-MTA.

Pectoralis Major Rupture: Presentation of Two Cases and Review of 74 Cases

1997 ◽  
Vol 5 (2) ◽  
pp. 118-122
Author(s):  
Hubert YM Chao ◽  
Ralph T Manktelow
Keyword(s):  
Surgical Management ◽  
Conservative Management ◽  
English Language ◽  
Surgical Repair ◽  
Case Reports ◽  
Pectoralis Major ◽  
Review Of The Literature ◽  
The Past ◽  
Sporting Activities ◽  
Language Literature

Pectoralis major rupture is uncommon. Injury usually occurs from sporting activities. The incidence and management of pectoralis major rupture is not well known, despite 74 case reports in the English language literature over the past 34 years. Two cases of chronic pectoralis ruptures and their successful surgical management are described. A review of the literature shows that most injuries occur at the humeral insertion, and most are complete ruptures. Distinguishing between complete and partial ruptures is important. Complete ruptures are best treated surgically in the acute situation. When chronic complete ruptures present, surgical repair yields fair to good results. Acute partial ruptures can be effectively managed conservatively or with surgery. Chronic partial ruptures can be managed surgically with good results, following unsatisfactory conservative management in the acute situation.

Antidepressant withdrawal mania: Two case reports

2017 ◽  
Vol 41 (S1) ◽  
pp. S540-S540
Author(s):  
D. Pereira ◽  
I. Carreira Figueiredo ◽  
M. Marinho ◽  
R. Fernandes ◽  
V. Viveiros
Keyword(s):  
Case Report ◽  
Emergency Service ◽  
Case Reports ◽  
Unipolar Depression ◽  
Clinical State ◽  
Gradual Improvement ◽  
Clinical Criteria ◽  
The Past ◽  
Pubmed Search ◽  
Competing Interest

IntroductionAlthough rarely reported, antidepressant discontinuation may induce hypomania or mania even in the absence of bipolar disorder [1,2].ObjectivesWe report two cases of antidepressant withdrawal induced mania.MethodsClinical process consultation and PubMed search were performed in November 2016 using the search keywords antidepressant, mania and discontinuation.ResultsCase report 1: a dysthymic 60 years old woman with 20 years of psychiatric following had been treated with venlafaxine 150 mg/daily the past year. She abruptly stopped taking this drug, developing heightened mood, irritability and racing thoughts five days later. She was admitted at our hospital, initiating then valproate and antipsychotics. Two weeks later, the hypomania clinical state remitted completely.Case report 2: a 64 years old woman, with a 12-year-old diagnosis of unipolar depression was brought to our emergency service with complaints of disorganized behavior, paranoid delusional ideas, excessive speech, irritable mood and reduced need for sleep, 1 week after abrupt trazodone 150 mg/daily discontinuation. Valproic acid 1000 mg/daily and olanzapine 20 mg/daily were introduced, with gradual improvement of symptoms. Two weeks later she was completely asymptomatic.ConclusionPsychiatrists should be aware of the risk of antidepressant withdrawal induced mania. More studies should be conducted about this subject, aiming for the clarification of risk factors and the establishment of clinical criteria for this phenomenon.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

scholarly journals Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report

2007 ◽  
Vol 8 (3) ◽  
pp. 72-80 ◽  
Author(s):  
Katherine Mantzikos ◽  
Stuart L. Segelnick ◽  
Robert Schoor
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Surgical Management ◽  
Patient Management ◽  
Case Reports ◽  
Periodontal Surgery ◽  
Best Management ◽  
Hematoma Formation ◽  
Floor Of The Mouth ◽  
Management Protocol

Abstract Background There are no published case reports that hematomas occur on the floor of the mouth as a result of periodontal surgery. Report These three case reports document post surgical hematoma formation on the floor of the mouth that pose problems with the diagnosis, prognosis, and patient management. All cases involved periodontal surgery where extensive reduction of tori and bony exostoses were required. Two cases resulted in hematomas in the floor of the mouth. However, a change in the post surgical management for a third case demonstrated possible prevention of hematoma formation. Summary Hematomas in the floor of the mouth can be a resolving post surgical phenomenon or a serious vascular insult to this region of the oral cavity. This report clarifies the diagnosis, prognosis, and the best management protocol through the presentation of three cases. Citation Mantzikos K, Segelnick SL, Schoor R. Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report. J Contemp Dent Pract 2007 March;(8)3:072-080

scholarly journals No Bull: A Case of Alpha-Gal Syndrome Associated With Buffalo Meat Sensitivity

2019 ◽  
Vol 10 ◽  
pp. 215265671989336
Author(s):  
Marija Rowane ◽  
Reimus Valencia ◽  
Benjamin Stewart-Bates ◽  
Jason Casselman ◽  
Robert Hostoffer
Keyword(s):  
Case Report ◽  
Immunoglobulin E ◽  
Case Reports ◽  
The United States ◽  
Tick Saliva ◽  
Buffalo Meat ◽  
The Past ◽  
First Case ◽  
Delayed Anaphylaxis ◽  
History Of

Introduction Alpha (⍺)-gal syndrome (AGS) is an immunoglobulin E (IgE) antibody response against the glycoprotein carbohydrate galactose-⍺-1,3-galactose-β-1-(3)4-N-acetylglucosamine-R (Gal⍺-1,3Galβ1-(3)4GlcNAc-R or ⍺-gal) that is present in Ixodida (tick) saliva and noncatarrhine mammals as well as cetuximab, antivenom, and the zoster vaccine. The most frequently observed anaphylactic reactions in AGS are observed after beef, pork, lamb, and deer meat consumption. We present the first case of anaphylaxis to buffalo meat. Case Report A 55-year-old man presented with a history of recurrent urticaria that only developed approximately 7 hours after buffalo consumption. The patient denied history of Ixodidae bites but admitted to frequent hiking outdoors. Anti-⍺-1,3-gal IgE was positive (30.80 kU/L). The patient was advised to strictly avoid red meat. Discussion The prevalence of AGS has been increased in all continents in the past decade, and several Ixodidae species have been associated with this hypersensitivity. The list of IgE-mediated reactions to various types of meat has expanded to kangaroo, whale, seal, and crocodile, although these have not been associated with AGS. van Nunen only cautioned against consumption of exotic meats, such as buffalo, but no published case report describes AGS associated with anaphylaxis to this type of meat. Conclusion AGS is a mammalian meat allergy that has been increasingly prevalent worldwide, especially in Ixodidae endemic regions of Australia and the United States. Multiple AGS case reports published in the past decade demonstrate rapidly increasing understanding of underlying mechanisms provoking ongoing sensitization to help devise management strategies and dietary information. We offer the first case report of delayed anaphylaxis to buffalo meat.

scholarly journals Treatment of Anti–NMDA Receptor Encephalitis with Ovarian Teratoma Removal: A Literature Review and Two Case Reports

2019 ◽  
Vol 7 (24) ◽  
pp. 4378-4382 ◽  
Author(s):  
Nguyen Phuong Tu ◽  
Pham Ba Nha ◽  
Nguyen Duy Hung ◽  
Nguyen Hoang Minh ◽  
Hoang Ngoc Anh ◽  
...  
Keyword(s):  
Case Report ◽  
Early Treatment ◽  
Case Reports ◽  
Autoimmune Encephalitis ◽  
Reproductive Function ◽  
Prolonged Treatment ◽  
Ovarian Teratoma ◽  
The Past ◽  
Nmda Receptor Encephalitis ◽  
Quality Life

BACKGROUND: N-methyl-d-aspartate receptor (NMDAR) antibody encephalitis appears common in the world, but the number of clinical cases in Vietnam which were recorded is rare. CASE REPORT: We describe two new cases of disease in recent years with the aim of contributing to diagnosis and treatment experiences. These cases were noted over the past 3 years with the patients who have been treated at lower levels but have no results. They came to us when symptoms became worse and therefore required prolonged treatment with special intensive care facilities. The atypical and easily confused symptoms are the reasons that make the disease be detected late; leading to a much higher cost of treatment and the complication may appear in the patient. In the past, patients with these manifestations were diagnosed with unexplained encephalitis and severe sequelae or death. Autoimmune encephalitis has many types; NMDA encephalitis associated with ovarian teratoma is the most common autoimmune encephalitis in young women. CONCLUSION: In conclusion, based on the case report, we hope to contribute some experiences on the diagnosis and the strategy in early treatment. With most female patients at very young age, early treatment to avoid complications will help patients have a quality life and maintain reproductive function.

scholarly journals Rhabdomyolysis following Acute Extended-Release Quetiapine Poisoning: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Antonios Liolios ◽  
Othman Sentissi
Keyword(s):  
Case Report ◽  
Extended Release ◽  
Psychiatric Patients ◽  
Case Reports ◽  
Clinical Findings ◽  
Major Depressive ◽  
The Past ◽  
Acute Rhabdomyolysis ◽  
Somatic Comorbidities ◽  
Release Form

Background. During the past few years, there have been a number of case reports concerning rhabdomyolysis following quetiapine poisoning; however, there has been none concerning the medication in its extended-release form.Methods. We present the case report of a 48-year-old man presenting a major depressive disorder and borderline personality disorder, who after voluntary intoxication with 12000 mg of quetiapine extended-release developed signs of acute rhabdomyolysis.Results. The rhabdomyolysis was confirmed by the laboratory and the clinical findings, with elevated levels of creatinine, creatine phosphokinase, and CRP.Discussion. We would like to pinpoint the importance of this complication and our concern of prescribing it for psychiatric patients with chronic somatic comorbidities.

Surgical Management of Scleromalacia Perforans—A Case Report

1983 ◽  
Vol 28 (4) ◽  
pp. 357-359 ◽  
Author(s):  
S. Y. A. Ghafoor ◽  
J. Williamson
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
New Approach ◽  
The Past

A new approach to the surgical management of scleromalacia perforans is described with a Case Report on a 53-year-old lady, who was followed up for the past nine months.

Sign in / Sign up

Export Citation Format

Share Document