scholarly journals Botox in periodontics - Exploring new avenues

2021 ◽  
Vol 76 (2) ◽  
pp. 78-83
Author(s):  
Manchala S Reddy ◽  
Shishir R Shetty ◽  
Raghavendra M Shetty ◽  
Venkataramana Vannala ◽  
Shakeel S Khazi ◽  
...  
Keyword(s):  
Treatment Protocol ◽  
Accurate Diagnosis ◽  
Point Of View ◽  
Gingival Hyperplasia ◽  
Recent Past ◽  
Upper Lip ◽  
Facial Aesthetics ◽  
Correct Treatment ◽  
Surgical Methods ◽  
Gummy Smile

From a periodontal point of view, various factors contribute to facial aesthetics. In the recent past, studies have revealed that excessive gingival display is a factor that influences an individual’ smile line. Some literature exists to support that more than excessive gingival display of more than 3mm is considered unaesthetic and termed a ‘gummy smile’ (GS). The prevalence of 'gummy smile’ has been 10% and to be more common in females. Gingival hyperplasia altered passive eruption, vertical maxillary excess, and upper-lip hypermobility can all result in excessive gingival display when a patient smile.To select the correct treatment protocol, accurate diagnosis is essential. Various techniques have been used to treat gummy smile which includes surgical and non-surgical methods. Recently a non-surgical method using Botulinum toxin gained popularity considering that the method is minimally invasive.

Gummy smile: clinical parameters useful for diagnosis and therapeutical approach

2005 ◽  
Vol 29 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Annalisa Monaco ◽  
Oriana Streni ◽  
Maria Chiara Marci ◽  
Giuseppe Marzo ◽  
Roberto Gatto ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Careful Analysis ◽  
Verbal Communication ◽  
Clinical Parameters ◽  
Upper Lip ◽  
Correct Treatment ◽  
Dental Eruption ◽  
The Subject ◽  
Mixed Nature ◽  
Gummy Smile

In the analysis of the characteristics of a pleasant smile, a gummy smile has negative components, which most affect the esthetics of non-verbal communication. For this purpose a proposed classification based upon etiopathogenetic criteria as useful indications for a therapeutical approach is given.The nature of a high smile line can be: dento-gingival, connected to an abnormal dental eruption, which is revealed by a short clinic crown; muscular, caused by an hyperactivity of the elevator muscle of the upper lip; dento-alveolar (skeletal), due to an excessive protuberance or vertical growth of the jawbone (maxillary); lastly, a mixed nature, in the presence of more than one of the above described factors.The diagnosis of gummy smile must be precocious and based, with reference to specific parameters, upon a careful analysis of the etiopathogenetic factors and the degree of seriousness of the alteration. A correct treatment plan must contemplate the possibility of an orthognatodontic, orthopedic and/or surgical therapeutic resolution considering the seriousness and complexity of the gums exposures (high smile line) in connection with the age of the subject.

scholarly journals The History and Current Status of Surgery in the Treatment of Laryngeal Cancer

2008 ◽  
Vol 51 (3) ◽  
pp. 157-163 ◽  
Author(s):  
Aleš Čoček
Keyword(s):  
Total Laryngectomy ◽  
Combined Treatment ◽  
Treatment Algorithm ◽  
Treatment Protocol ◽  
Point Of View ◽  
Current Status ◽  
Current Phase ◽  
Surgical Methods ◽  
Carcinoma Of The Larynx ◽  
The 19Th Century

The roots of surgery of the larynx reach into the 19th century. After the gaining of initial experiences, a period of radical surgery followed when most tumours were treated with a total laryngectomy. The middle of the 20th century can be characterised as a period of partial laryngectomies. The mutilation of patients caused by a total laryngectomy was and is one of the main impulses that led to the development of the current phase – combined treatment (radiotherapy, systematic cytostatic chemotherapy, biological treatment, surgery as an emergency treatment). The aim is to treat carcinoma of the larynx without the actual removal of the larynx itself and with the same oncological results as would be reached in cases treated with a total laryngectomy. Despite the development of non-surgical methods, surgery of carcinoma of the larynx remains a significant part of the treatment protocol. This work covers the development of surgery of carcinoma of the larynx from a historical point of view; it also describes current types of operations and discusses the position of surgery in today’s treatment algorithm.

Dental Inclusion of Canine and Wisdom Tooth in Orthodontics Chemical Necroses

2018 ◽  
Vol 69 (8) ◽  
pp. 2191-2196
Author(s):  
Cristian Constantin Budacu ◽  
Nicoleta Ioanid ◽  
Cristian Romanec ◽  
Mihail Balan ◽  
Liliana Lacramioara Pavel ◽  
...  
Keyword(s):  
Third Molar ◽  
Point Of View ◽  
Separate Entity ◽  
Wisdom Tooth ◽  
Facial Aesthetics ◽  
The Third ◽  
Edentulous Mandible ◽  
Canine Guidance ◽  
Upper Jaw ◽  
Functional Point

Canine plays an important role in the dento-maxillary system. From a functional point of view, it provides the canine guidance, by positioning it in the frontal area, has a role in facial aesthetics. It plays an important prosthetic role by having the longest root and one of the longest arcade teeth. Three molars represent the last teeth that erupt in the arches both in the jaw and in the mandible, which is why they remain the most frequently included.Canine incidence is quite common following the wisdom tooth. It can be unilateral or bilateral and is more common in the upper jaw. The canine may remain included at the vestibular, palatal or between the two bones. A separate entity is the incision of the canine in the edentulous mandible or jaw. The study included 213 cases with dento-alveolar pathology, of which 128 patients were selected with dental inclusion. Our study reports that the first three molars are frequent, followed by the canine as opposed to other studies conducted by Guzduz K in 2011 and Fardi A of the same year bringing the canines first (Fardi, Guzduz). Some studies attribute the first place to the superior canine in terms of frequency, but they are abstracted from the molar three inclusion that they consider as most frequently (Compoy). The most common tooth in inclusion is the third molar (lower and upper) followed by the upper canine; the most commonly affected are women for both canine and molar.

scholarly journals Conservative treatment of a Class I malocclusion with 12 mm overjet, overbite and severe mandibular crowding

2012 ◽  
Vol 17 (5) ◽  
pp. 43-52
Author(s):  
Marcos Alan Vieira Bittencourt ◽  
Arthur Costa Rodrigues Farias ◽  
Marcelo de Castellucci e Barbosa
Keyword(s):  
Class I ◽  
Facial Features ◽  
Conservative Approach ◽  
Upper Lip ◽  
Facial Aesthetics ◽  
Lower Lip ◽  
Angle Class ◽  
Nasolabial Angle ◽  
Lower Arch ◽  
Lower Incisors

INTRODUCTION: A female patient aged 12 years and 2 months had molars and canines in Class II relationship, severe overjet (12 mm), deep overbite (100%), excessive retroclination and extrusion of the lower incisors, upper incisor proclination, with mild midline diastema. Both dental arches appeared constricted and a lower arch discrepancy of less than -6.5 mm. Facially, she had a significant upper incisors display at rest, interposition and eversion of the lower lip, acute nasolabial angle and convex profile. OBJECTIVE: To report a clinical case consisting of Angle Class I malocclusion with deep overbite and overjet in addition to severe crowding treated with a conservative approach. METHODS: Treatment consisted of slight retraction of the upper incisors and intrusion and protrusion of the lower incisors until all crowding was eliminated. RESULTS: Adequate overbite and overjet were achieved while maintaining the Angle Class I canine and molar relationships and coincident midlines. The facial features were improved, with the emergence of a slightly convex profile and lip competence, achieved through a slight retraction of the upper lip and protrusion of the lower lip, while improving the nasolabial and mentolabial sulcus. CONCLUSIONS: This conservative approach with no extractions proved effective and resulted in a significant improvement of the occlusal relationship as well as in the patient's dental and facial aesthetics.

A COMPREHENSIVE STUDY ON ACUTE NON-TRAUMATIC ABDOMINAL EMERGENCIES

2021 ◽  
pp. 14-16
Author(s):  
Md. Quamar Zubair ◽  
A. K. Jha Suman
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Surgical Intervention ◽  
Age Groups ◽  
Diagnostic Procedures ◽  
Accurate Diagnosis ◽  
Postoperative Patient ◽  
Correct Treatment ◽  
Abdominal Emergencies ◽  
Comprehensive Study

Abdominal pain is one of the most common reasons for visit to the emergency room. Acute appendicitis is the commonest cause. An accurate diagnosis is essential for the correct treatment, which in many cases will prevent the death of the patient. Mainstay of diagnosis is history and physical examination. If this information is inadequate to establish a diagnosis and urgent or immediate operation is unnecessary, the periodic re-examination helps document the progression of the disease and often avoids unnecessary surgical intervention. Today the combination of improved diagnostic procedures, antibiotic and better anaesthesia and preoperative and postoperative patient care has led to a decrease in morbidity and mortality of patients with acute abdomen. The objective of this study was to determine the various causes of nontraumatic acute abdominal emergencies, their incidence, management and mortality in both sexes and all age groups >12 years age.

Botox A Injection Compared with Modified Lip Repositioning Surgery in the Treatment of Adult Patients with Gummy Smile Due to Hypermobile Upper Lip

2021 ◽  
Vol 5 (3) ◽  
pp. 142-153
Author(s):  
Zainab Abdel-Rhman Mohammed ◽  
Mohammed Abd Al-Alim Bushnak ◽  
Manal Yahia Foda ◽  
Dalia El Boghdady
Keyword(s):  
Adult Patients ◽  
Upper Lip ◽  
Gummy Smile

Unusual cause of gas complicating a biloma, postcholecystectomy

2021 ◽  
Vol 14 (4) ◽  
pp. e240437
Author(s):  
Cameron Spence ◽  
Fatima Ahmad ◽  
Louisa Bolton ◽  
Amit Parekh
Keyword(s):  
Emergency Department ◽  
Accurate Diagnosis ◽  
Clinical Team ◽  
Common Complication ◽  
Endoscopic Retrograde ◽  
Correct Treatment ◽  
Complicated Case ◽  
Unusual Appearance ◽  
Gallbladder Fossa ◽  
Elective Cholecystectomy

A 50-year-old man presented to the emergency department with abdominal pain, vomiting and fever. He had been admitted 6 months ago with acute cholecystitis when he underwent endoscopic retrograde cholangiopancreatography (ERCP) to remove ductal gallstones. Elective cholecystectomy was performed 3 days prior to the current admission. CT demonstrated a fluid and gas containing collection in the gallbladder fossa, biliary gas and free intra-abdominal gas. ERCP revealed a retained common bile duct gallstone and leakage from the cystic duct remnant. We postulate that the gas within the collection originated from intrahepatic gas post-ERCP or from a gas forming organism. The free intra-abdominal gas originated from the collection rather than an intraoperative bowel injury. This complicated case highlights an unusual appearance of a common complication. It demonstrates the importance of discussion with the clinical team to ensure that an accurate diagnosis is made and the correct treatment is provided.

Popliteal Pterygium Syndrome with Special Consideration of the Cleft Malformation: Case Report

1992 ◽  
Vol 29 (1) ◽  
pp. 80-84 ◽  
Author(s):  
Hubertus Koch ◽  
Magdalena Grzonka ◽  
Josef Koch
Keyword(s):  
Case Report ◽  
Treatment Protocol ◽  
Special Consideration ◽  
Upper Lip ◽  
Popliteal Pterygium Syndrome ◽  
Popliteal Pterygium

This report describes a new case of popliteal pterygium syndrome (PPS) and also a treatment protocol. The patient presented with the complete complex of PPS and additional abnormalities that have not been described in the literature: a sinus of the upper lip, an extreme hypopoplastic prolabium with aplasia of the vestibule In this area, and a velar pterygium.

scholarly journals Upper Lip Horizontal Line: Characteristics of a Dynamic Facial Line

2020 ◽  
Vol 17 (18) ◽  
pp. 6672
Author(s):  
Alexander D Vardimon ◽  
Nir Shpack ◽  
Atalia Wasserstein ◽  
Marilena Skyllouriotou ◽  
Morris Strauss ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Age Groups ◽  
Treatment Modalities ◽  
Horizontal Line ◽  
Facial Morphology ◽  
Upper Lip ◽  
Age Related ◽  
Cast Model ◽  
And Gender ◽  
Gummy Smile

Background: Upper lip appearance received major attention with the introduction of diverse treatment modalities, including lip augmentation, rhinoplasty surgery, and dental treatment designed to support the upper lip. Our objectives were to define the prevalence and characteristics of the upper lip horizontal line (ULHL), which is a dynamic line appearing during a smile, in relation to gender, malocclusions, aging, and facial morphology. Methods: First, the prevalence and gender distribution of ULHL was examined from standardized en-face imaging at full smile of 643 randomly selected patients. Second, cephalometric and dental cast model analyses were made for 97 consecutive patients divided into three age groups. Results: ULHL appears in 13.8% of the population examined, and prevailed significantly more in females (78%). The prevalence of ULHL was not related to age nor to malocclusion. Patients presenting ULHL showed shorter upper lip and deeper lip sulcus. The skeletal pattern showed longer mid-face, shorter lower facial height and greater prevalence of a gummy smile. Conclusions: Female patients with short upper lip, concavity of the upper lip, and gummy smile are more likely to exhibit ULHL. The ULHL is not age-related and can be identified in children and young adults. Therefore, it should be considered when selecting diverse treatment modalities involving the upper lip.

Candida and Breastfeeding: A Critical Commentary on the Dilemmas Around Diagnosis, Treatment, and Management

2020 ◽  
pp. CLINLACT-D-20-00007
Author(s):  
Denise McGuinness ◽  
Marcelina Szafranska
Keyword(s):  
Healthcare Professionals ◽  
Clinical Skills ◽  
Management Strategies ◽  
Accurate Diagnosis ◽  
Breast Pain ◽  
Correct Treatment ◽  
Diagnosis And Management ◽  
Critical Commentary ◽  
The Usa ◽  
Robust Evidence

ObjectiveThe etiology of nipple pain in breastfeeding women can be challenging for healthcare professionals. The most common cause of nipple pain or damage in breastfeeding women is poor latch and positioning of the baby at the breast (Duncan, 2015). However, when position and attachment is not identified as the cause, controversy exists as to the etiology of the pain with nipple or breast thrush identified as a probable suspect.MethodThe literature was reviewed to explore the diagnosis and management of thrush in breastfeeding women.ResultsThere is a lack of robust evidence in the literature to support an accurate diagnosis of candida as the cause of nipple and/or deep breast pain in breastfeeding women. Diagnosis and management strategies vary between the USA and Europe.ConclusionIt is important that clinicians supporting and working with breastfeeding women are aware of the differential diagnosis for both breast and nipple pain, as well as utilize their clinical skills effectively to offer the correct treatment and management to women presenting with candida like symptoms (Amir et al., 2013, Wilson-Clay and Hoover, 2017). Culture and sensitivity of mothers expressed milk may be supportive of a diagnosis; however, analysis of mothers’ milk is not without its challenges. Breastfeeding women should not be treated for potential candida infection with a traditional clinical examination alone.

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