scholarly journals Complications following replantation of primary teeth: a case report

2021 ◽  
Vol 21 (2) ◽  
pp. 667-671
Author(s):  
Mariana Oliveira Guimarães ◽  
Lorena Teixeira Melo Bomfim ◽  
Paulo Antônio Martins-Júnior ◽  
Fernanda Bartolomeo Freire-Maia ◽  
José Carlos Pettorossi Imparato ◽  
...  
Keyword(s):  
Clinical Case ◽  
Primary Teeth ◽  
Root Resorption ◽  
Clinical Success ◽  
Treatment Options ◽  
Evidence Based ◽  
Unexpected Event ◽  
Recent Systematic Review ◽  
Evidence Based Treatment ◽  
Event Description

Abstract Introduction: the avulsion of primary teeth is a disturbing and unexpected event. Description: this report describes the clinical case of a three-year-old child who suffered an avulsion and replantation of the primary upper central incisors at the site of the injury. The guardians sought treatment for the child at the Federal University of Minas Gerais after the replantation. Four months later, the child suffered a new trauma and the replanted teeth presented advanced mobility, root resorption and fistula. The clinical conduct was extraction and rehabilitation with a fixed esthetic maintainer. Discussion: the literature describes two treatment options for avulsion of primary incisors: replantation and non-replantation. According to a recent systematic review, the difficulty in obtaining a consensus regarding the best clinical conduct is due, in part, to the scarcity of publications that present not only follow-ups with clinical success, but also with failures. The outcomes of replantation can be influenced by several factors. The time elapsed between replantation and splinting, and the new episode of trauma, negatively influenced the prognosis in the present case, leading to failure. Replantation of primary incisors is not yet evidence-based treatment. Therefore, this option must be chosen with caution and in ideal situations. It requires constant clinical and radiographic monitoring for evaluation of outcomes.

Ferric sulfate as pulpotomy agent in primary teeth: twenty month clinical follow-up

2000 ◽  
Vol 24 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Hamijeta Ibricevic ◽  
Qumasha Al-Jame
Keyword(s):  
Success Rate ◽  
Primary Teeth ◽  
Root Resorption ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Ferric Sulfate ◽  
Primary Molar ◽  
Molar Teeth ◽  
The Moment

Seventy primary molar teeth, carious exposed, symptom free, without any sign of root resorption in children aged from 3 to 6 years (main age 4.3yr) were treated with conventional pulpotomy procedures. Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. In both groups, pulp stumps were covered with zinc-oxide eugenol paste. Permanent restorations were stainless steel crowns. Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. Our results within this period revealed 100% clinical success rate in both groups. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. On the basis of these results, we can recommend ferric sulfate as a pulpotomy agent in primary teeth in substitution for formocresol at the moment.

scholarly journals Current and emerging evidence-based treatment options in chronic migraine: a narrative review

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Elio Clemente Agostoni ◽  
◽  
Piero Barbanti ◽  
Paolo Calabresi ◽  
Bruno Colombo ◽  
...  
Keyword(s):  
Chronic Migraine ◽  
Treatment Options ◽  
Narrative Review ◽  
Evidence Based ◽  
Evidence Based Treatment

Sacroiliac Joint Dysfunction

2018 ◽  
Author(s):  
Victor Foorsov ◽  
Omar Dyara ◽  
Robert Bolash ◽  
Bruce Vrooman
Keyword(s):  
Low Back Pain ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Treatment Options ◽  
Evidence Based ◽  
Low Back ◽  
Common Cause ◽  
Evidence Based Treatment ◽  
Sacroiliac Joint Dysfunction ◽  
Radiologic Imaging

Sacroiliac joint dysfunction is a common cause of chronic low back pain. Certain populations are particularly susceptible to disorders of this unique joint. Anatomically, the joint is complex, and the clinician must understand both intrinsic and extrinsic structures in its vicinity. Unfortunately, there are no particular pathognomonic findings on radiologic imaging. A cluster of physical examination findings has been recognized as demonstrating sacroiliac joint pain. Various treatment options exist in the evidence-based treatment of this condition.

scholarly journals The Complexity Approach to Phonological Treatment: How to Select Treatment Targets

2018 ◽  
Vol 49 (3) ◽  
pp. 463-481 ◽  
Author(s):  
Holly L. Storkel
Keyword(s):  
Clinical Practice ◽  
Preschool Children ◽  
Treatment Options ◽  
Target Selection ◽  
Evidence Based ◽  
Treatment Target ◽  
Evidence Based Treatment ◽  
Phonological Disorders ◽  
Link Type ◽  
Phonological Treatment

Purpose There are a number of evidence-based treatments for preschool children with phonological disorders (Baker & McLeod, 2011). However, a recent survey by Brumbaugh and Smit (2013) suggests that speech-language pathologists are not equally familiar with all evidence-based treatment alternatives, particularly the complexity approach. The goal of this clinical tutorial is to provide coaching on the implementation of the complexity approach in clinical practice, focusing on treatment target selection. Method Evidence related to selecting targets for treatment based on characteristics of the targets (i.e., developmental norms, implicational universals) and characteristics of children's knowledge of the targets (i.e., accuracy, stimulability) is reviewed. Free resources are provided to aid clinicians in assessing accuracy and stimulability of singletons and clusters. Use of treatment target selection and generalization prediction worksheets is illustrated with 3 preschool children. Results Clinicians can integrate multiple pieces of information to select complex targets and successfully apply the complexity approach to their own clinical practice. Conclusion Incorporating the complexity approach into clinical practice will expand the range of evidence-based treatment options that clinicians can use when treating preschool children with phonological disorders. Supplemental Material S1 https://doi.org/10.23641/asha.6007562 KU ScholarWorks Supplemental Material http://hdl.handle.net/1808/24767

scholarly journals AGO Algorithms for the Treatment of Breast Cancer: Update 2021

2021 ◽  
Vol 81 (10) ◽  
pp. 1101-1111
Author(s):  
Andreas Schneeweiss ◽  
Peter A. Fasching ◽  
Tanja Fehm ◽  
Bernd Gerber ◽  
Christian Jackisch ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Performance Status ◽  
Treatment Options ◽  
Metastatic Breast ◽  
Treatment Decision ◽  
Evidence Based ◽  
Treatment Algorithms ◽  
Actual Treatment ◽  
Therapy Options ◽  
Evidence Based Treatment

AbstractTherapy options shown in the algorithms are based on the current AGO recommendations, but cannot represent all evidence-based treatment options, since prior therapies, performance status, comorbidities, patient preference, etc. must be taken into account for the actual treatment choice. In individual cases, other evidence-based treatment options may also be appropriate and justified. Regardless of approval status, the algorithms only take into account drugs that were available in Germany at the time the algorithm was last updated. Here we present the 2021 update of AGO treatment algorithms for early and metastatic breast cancer, which are intended to intensify structured treatment decision by providing reproducible and evidence-based treatment paths and may be helpful for a broad treatment landscape.

scholarly journals Therapy Algorithms for the Diagnosis and Treatment of Patients with Early and Advanced Breast Cancer

Breast Care ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. 608-618
Author(s):  
Andreas Schneeweiss ◽  
Ingo Bauerfeind ◽  
Tanja Fehm ◽  
Wolfgang Janni ◽  
Christoph Thomssen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Metastatic Breast Cancer ◽  
Advanced Breast Cancer ◽  
Endocrine Therapy ◽  
Treatment Options ◽  
Metastatic Breast ◽  
Evidence Based ◽  
Complex Treatment ◽  
Her2 Positive ◽  
Evidence Based Treatment

<b><i>Background:</i></b> In order to offer optimal treatment approaches based on available evidence, the Commission Breast of the Working Group Gynecologic Oncology (AGO) of the German Cancer Society developed therapy algorithms for eight complex treatment situations in primary and advanced breast cancer. <b><i>Summary:</i></b> Therapy algorithms for the following complex treatment situations are outlined in this paper: (neo)adjuvant therapy of human epidermal growth factor receptor 2 (HER2)-positive breast cancer; axillary surgery and neoadjuvant chemotherapy; adjuvant endocrine therapy in premenopausal patients; adjuvant endocrine therapy in postmenopausal patients; hormone receptor (HR)-positive/HER2-negative metastatic breast cancer: strategies; HR-positive/HER2-negative metastatic breast cancer: endocrine-based first-line treatment; HER2-positive metastatic breast cancer: first to third-line; metastatic triple-negative breast cancer. <b><i>Key Messages:</i></b> The therapy options shown in these algorithms are based on the current AGO recommendations updated in January 2020 but cannot represent all evidence-based treatment options. Prior therapies, performance status, comorbidities, patient preference, etc. must be taken into account for the actual treatment choice. Therefore, in individual cases, other evidence-based treatment options not listed here may also be appropriate and justified.

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